Loma Linda University Health

San Bernardino, CA Health careNAICS 621399

Self-funded health planPlan year 2025Renews January
13,304Participants+2% vs. prior year
$31.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#8 of 68Health care in CABy participants

Overview

Loma Linda University Health sponsors a self-funded health plan that covered 13,304 participants in plan year 2025, up 2% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports dental, vision.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
13,304 · prior year 13,018
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Loma Linda University Health Wholeness Health Plan, plan 509 (13,304 participants); Health Care Reimbursement Plan Which Is a Plan in the Loma Linda University Health Flexible Benefits, plan 507 (4,919 participants); Loma Linda University Health Base Health Plan, plan 508 (471 participants)
MedicalDentalVision

Pharmacy benefit estimate

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

$31.5M/ year

Estimated prescription spend: 13,304 participants × $2,371 national average per member. Usually higher once dependents are counted.

$820K–$2.0M/ year

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

Brands with a generic available$240K–$599K
Lower-cost therapeutic alternatives$350K–$732K
Generic pricing vs. actual cost$151K–$454K
PBM contract terms$79K–$237K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning January 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
Loma Linda University Health
Sponsor EIN
95-3804495
Plan numbers
509, 507, 508
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 95-3804495 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Loma Linda University Health'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 Loma Linda University Health.

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