Old National Bancorp

Evansville, IN Holding companiesNAICS 551111

Self-funded health planPlan year 2025Renews January
5,031Participants+20% vs. prior year
$11.9MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 6Holding companies in INBy participants

Overview

Old National Bancorp sponsors a self-funded health plan that covered 5,031 participants in plan year 2025, up 20% from 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
5,031 · prior year 4,199
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Old National Bancorp Employee Welfare Benefits Plan, plan 502 (5,031 participants)
Broker compensation
$598K across insured contracts
MedicalLife insuranceDentalVisionLong-term disabilitySeveranceOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Delta Dental of IndianaDental9,041$3.3M$128K
Unum Life Insurance Company of AmericaLife, Long-term disability5,031$2.9M$282K
Unum Insurance CompanyAccident, Critical Illness, Hospital Indemnity1,361$856K$176K
Vision Service PlanVision3,485$580K—
Metropolitan General Insurance CompanyLegal500$121K$11K

Pharmacy benefit estimate

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

$11.9M/ year

Estimated prescription spend: 5,031 participants × $2,371 national average per member. Usually higher once dependents are counted.

$310K–$765K/ year

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

Brands with a generic available$91K–$227K
Lower-cost therapeutic alternatives$132K–$277K
Generic pricing vs. actual cost$57K–$172K
PBM contract terms$30K–$89K
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
Old National Bancorp
Sponsor EIN
35-1539838
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 35-1539838 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
The Old National Bancorp Employee Stock Ownership and Savings Plan
Type
401(k) plan
Participants
6,402

About this data

Source: Old National Bancorp'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 Old National Bancorp.

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