Lurie Children's Medical Group, Inc.

Chicago, IL Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
732ParticipantsFirst year on file
$1.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#54 of 65Health care in ILBy participants

Overview

Lurie Children's Medical Group, Inc. sponsors a self-funded health plan that covered 732 participants in plan year 2025. The plan year starts in January. Alongside medical, its benefits filing reports dental.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
732
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Lurie Children's Medical Group, Inc. Self-Insured Health Benefits Plan, plan 501 (732 participants)
MedicalDental

Pharmacy benefit estimate

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

$1.7M/ year

Estimated prescription spend: 732 participants × $2,371 national average per member. Usually higher once dependents are counted.

$45K–$111K/ year

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

Brands with a generic available$13K–$33K
Lower-cost therapeutic alternatives$19K–$40K
Generic pricing vs. actual cost$8K–$25K
PBM contract terms$4K–$13K
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
Lurie Children's Medical Group, Inc.
Sponsor EIN
36-3279680
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 36-3279680 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Lurie Children's Medical Group, Inc. 403(b) Plan
Type
Defined contribution plan
Participants
1,494

About this data

Source: Lurie Children's Medical Group, Inc.'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 Lurie Children's Medical Group, Inc..

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