Nationwide Children's Hospital

Columbus, OH Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
10,825ParticipantsFirst year on file
$25.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#11 of 89Health care in OHBy participants

Overview

Nationwide Children's Hospital sponsors a self-funded health plan that covered 10,825 participants in plan year 2025. 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
10,825
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Nationwide Children's Hospital, Inc. Employee Benefits Plan, plan 509 (10,825 participants)
Broker compensation
$942K 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
Hartford Life and AccidentLife, Long-term disability, Accidental Death and Dismemberment14,215$6.3M$476K
Aetna Life Insurance CompanyHospital Indemnity9,822$2.1M$465K
Vision Service PlanVision9,826$1.8M—

Pharmacy benefit estimate

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

$25.7M/ year

Estimated prescription spend: 10,825 participants × $2,371 national average per member. Usually higher once dependents are counted.

$667K–$1.6M/ year

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

Brands with a generic available$195K–$488K
Lower-cost therapeutic alternatives$285K–$595K
Generic pricing vs. actual cost$123K–$370K
PBM contract terms$64K–$192K
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
Nationwide Children's Hospital
Sponsor EIN
31-4379441
Plan number
509
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 31-4379441 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Nationwide Children's Hospital Defined Contribution Plan
Type
401(k) plan
Participants
26,077

About this data

Source: Nationwide Children's Hospital'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 Nationwide Children's Hospital.

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