Northside Hospital, Inc.

Atlanta, GA Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
26,216Participants+21% vs. prior year
$62.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#3 of 40Health care in GABy participants

Overview

Northside Hospital, Inc. sponsors a self-funded health plan that covered 26,216 participants in plan year 2025, up 21% 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
26,216 · prior year 21,598
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Northside Hospital, Inc. Flexible Benefits Plan, plan 501 (26,216 participants)
Broker compensation
$2.6M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Life Insurance Company of North AmericaAccidental Death, Life, Long-term disability, Short-Term Disability ASO26,216$19.2M$2.6M
Eyemed Vision CareVision19,151$4.1M—

Pharmacy benefit estimate

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

$62.2M/ year

Estimated prescription spend: 26,216 participants × $2,371 national average per member. Usually higher once dependents are counted.

$1.6M–$4.0M/ year

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

Brands with a generic available$472K–$1.2M
Lower-cost therapeutic alternatives$690K–$1.4M
Generic pricing vs. actual cost$298K–$895K
PBM contract terms$155K–$466K
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
Northside Hospital, Inc.
Sponsor EIN
58-1954432
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 58-1954432 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Northside Hospital 403(b) Retirement Plan
Type
Defined contribution plan
Participants
42,888

About this data

Source: Northside Hospital, 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 Northside Hospital, Inc..

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