Ohiohealth Corporation

Columbus, OH Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
27,244Participants+1% vs. prior year
$64.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#4 of 89Health care in OHBy participants

Overview

Ohiohealth Corporation sponsors a self-funded health plan that covered 27,244 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, prepaid legal, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
27,244 · prior year 27,061
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Ohiohealth Corporation Welfare Benefit Plan, plan 503 (27,244 participants)
Broker compensation
$1.4M across insured contracts
MedicalLife insuranceDentalVisionPrepaid legalLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Delta Dental of OhioDental43,659$15.3M—
Lincoln National Life Insurance CompanyLife, Long-term disability27,244$11.1M$1.3M
Vision Service PlanVision18,721$4.4M—
MetLife Legal PlansLegal2,617$499K$49K

Pharmacy benefit estimate

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

$64.6M/ year

Estimated prescription spend: 27,244 participants × $2,371 national average per member. Usually higher once dependents are counted.

$1.7M–$4.1M/ year

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

Brands with a generic available$491K–$1.2M
Lower-cost therapeutic alternatives$717K–$1.5M
Generic pricing vs. actual cost$310K–$930K
PBM contract terms$161K–$484K
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
Ohiohealth Corporation
Sponsor EIN
31-4394942
Plan number
503
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 31-4394942 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Ohiohealth Retirement Savings Plan 403(b)
Type
Defined contribution plan
Participants
38,214

About this data

Source: Ohiohealth Corporation'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 Ohiohealth Corporation.

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