Mayo Clinic

Rochester, MN Health careNAICS 621112

Self-funded health planPlan year 2025Renews January
85,058Participants+1% vs. prior year
$201.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 50Health care in MNBy participants

Overview

Mayo Clinic sponsors a self-funded health plan that covered 85,058 participants in plan year 2025, about the same as the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
85,058 · prior year 84,412
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Mayo Clinic Health & Welfare Benefits Plan, plan 502 (85,058 participants); Mayo Clinic Retiree Health Reimbursement Arrangement, plan 524 (3,869 participants)
Broker compensation
$2.6M across insured contracts
MedicalLife insuranceDentalVisionLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Prudential Insurance Company of AmericaLife, Accidental Death & Dismemberment, Long-term disability, Supp Health - Hospital Indemnity, Supp Health - Accident, Supp Health - Critical Illness96,402$68.3M$2.1M
Fidelity Security Life Insurance CompanyVision77,483$6.4M—
Arag Insurance CompanyLegal Insurance33,702$3.7M$482K
Hartford Life and AccidentBusiness Travel Accident79,159$186K$34K

Pharmacy benefit estimate

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

$201.7M/ year

Estimated prescription spend: 85,058 participants × $2,371 national average per member. Usually higher once dependents are counted.

$5.2M–$12.9M/ year

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

Brands with a generic available$1.5M–$3.8M
Lower-cost therapeutic alternatives$2.2M–$4.7M
Generic pricing vs. actual cost$968K–$2.9M
PBM contract terms$504K–$1.5M
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
Mayo Clinic
Sponsor EIN
41-6011702
Plan numbers
502, 524
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 41-6011702 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Mayo 403(b) Plan
Type
Defined contribution plan
Participants
114,636

About this data

Source: Mayo Clinic'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 Mayo Clinic.

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