Sibley Memorial Hospital

Washington, DC Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
1,710Participants0% vs. prior year
$4.1MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 2Health care in DCBy participants

Overview

Sibley Memorial Hospital sponsors a self-funded health plan that covered 1,710 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, short-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,710 · prior year 1,710
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Sibley Memorial Hospital Welfare Benefit Plan, plan 511 (1,710 participants)
Broker compensation
$49K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disability

Pharmacy benefit estimate

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

$4.1M/ year

Estimated prescription spend: 1,710 participants × $2,371 national average per member. Usually higher once dependents are counted.

$105K–$260K/ year

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

Brands with a generic available$31K–$77K
Lower-cost therapeutic alternatives$45K–$94K
Generic pricing vs. actual cost$19K–$58K
PBM contract terms$10K–$30K
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
Sibley Memorial Hospital
Sponsor EIN
53-0196602
Plan number
511
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 53-0196602 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Sibley Memorial Hospital 401(k) Plan
Type
401(k) plan
Participants
3,106

About this data

Source: Sibley Memorial 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 Sibley Memorial Hospital.

Request a correction · Methodology