Mount Sinai Medical Center of Florida, Inc.

Miami, FL Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
4,762Participants+7% vs. prior year
$11.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#12 of 89Health care in FLBy participants

Overview

Mount Sinai Medical Center of Florida, Inc. sponsors a self-funded health plan that covered 4,762 participants in plan year 2025, up 7% from the prior year. The plan year starts in January. 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
4,762 · prior year 4,457
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Mount Sinai Medical Center of Florida, plan 501 (4,762 participants)
Broker compensation
$374K 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
Lincoln National Life Insurance CompanyLong-term disability, Short-term disability, Life4,661$2.1M$127K
Delta Dental Insurance CompanyDental4,227$1.5M—
The Lincoln National Life Insurance CompanyAccident, Hospital Indemnity, Critical Illness1,095$685K$247K
Metropolitan Life Insurance CompanyVision4,130$148K—

Pharmacy benefit estimate

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

$11.3M/ year

Estimated prescription spend: 4,762 participants × $2,371 national average per member. Usually higher once dependents are counted.

$294K–$724K/ year

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

Brands with a generic available$86K–$215K
Lower-cost therapeutic alternatives$125K–$262K
Generic pricing vs. actual cost$54K–$163K
PBM contract terms$28K–$85K
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
Mount Sinai Medical Center of Florida, Inc.
Sponsor EIN
59-0624424
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 59-0624424 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Mount Sinai Matching Contribution Plan
Type
Defined contribution plan
Participants
8,007

About this data

Source: Mount Sinai Medical Center of Florida, 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 Mount Sinai Medical Center of Florida, Inc..

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