Lester E COX Medical Center

Springfield, MO Health careNAICS 622000

Self-funded health planPlan year 2025Renews May
11,093Participants-7% vs. prior year
$26.3MEst. pharmacy spend / yrParticipants × national avg.
May 2027Next renewalPlan year begins May 1
#3 of 35Health care in MOBy participants

Overview

Lester E COX Medical Center sponsors a self-funded health plan that covered 11,093 participants in plan year 2025, down 7% from the prior year. The plan year starts in May. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
11,093 · prior year 11,985
Plan year
Begins May 1 · next renewal May 2027
Health plans filed
Lester E COX Medical Center Welfare Benefit Group Insurance Plan, plan 504 (11,093 participants)
Broker compensation
$3.9M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Life Insurance Company of North AmericaA D & D, Long-term disability, Short-term disability, Life10,596$10.4M$2.5M
Hartford Life and AccidentVoluntary Accident and Critical Illness, A D & D6,787$3.3M$1.4M
Vision Service PlanVision3,793$645K$14K
Metropolitan Life Insurance CompanyVision5,439$452K$47K

Pharmacy benefit estimate

StreamRX estimate for a plan this size. Not based on this plan's claims.

$26.3M/ year

Estimated prescription spend: 11,093 participants × $2,371 national average per member. Usually higher once dependents are counted.

$684K–$1.7M/ year

Typical savings opportunity found in independent reviews of plans this size.

Brands with a generic available$200K–$500K
Lower-cost therapeutic alternatives$292K–$610K
Generic pricing vs. actual cost$126K–$379K
PBM contract terms$66K–$197K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning May 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
Lester E COX Medical Center
Sponsor EIN
44-0577118
Plan number
504
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 44-0577118 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
COX Savings Incentive Plan
Type
Defined contribution plan
Participants
16,589

About this data

Source: Lester E COX Medical Center's Form 5500 filing for plan year 2025 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with Lester E COX Medical Center.

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