Marshfield Clinic Health System, Inc.

Marshfield, WI Health careNAICS 621112

Self-funded health planPlan year 2024Renews April
6,799ParticipantsFirst year on file
$16.1MEst. pharmacy spend / yrParticipants × national avg.
Apr 2027Next renewalPlan year begins April 1
#5 of 29Health care in WIBy participants

Overview

Marshfield Clinic Health System, Inc. sponsors a self-funded health plan that covered 6,799 participants in plan year 2024. The plan year starts in April. Alongside medical, its benefits filing reports life insurance, dental, short-term disability, long-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
6,799
Plan year
Begins April 1 · next renewal April 2027
Health plans filed
Marshfield Health Plan, plan 507 (6,799 participants)
Stop-loss carrier
Dubraski and Associates Insurance Services LLC
Broker compensation
$428K across insured contracts
MedicalLife insuranceDentalShort-term disabilityLong-term disabilitySeveranceDeath 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 AmericaLife, Long-term disability8,221$5.2M$428K
Dubraski and Associates Insurance Services LLCStop-loss6,084$349K—

Pharmacy benefit estimate

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

$16.1M/ year

Estimated prescription spend: 6,799 participants × $2,371 national average per member. Usually higher once dependents are counted.

$419K–$1.0M/ year

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

Brands with a generic available$123K–$306K
Lower-cost therapeutic alternatives$179K–$374K
Generic pricing vs. actual cost$77K–$232K
PBM contract terms$40K–$121K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning April 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Marshfield Clinic Health System, Inc.
Sponsor EIN
46-1495343
Plan number
507
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 46-1495343 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Marshfield Clinic Health System, Inc.'s Form 5500 filing for plan year 2024 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 Marshfield Clinic Health System, Inc..

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