Sinai Health System

Chicago, IL Health careNAICS 621399

Self-funded health planPlan year 2025Renews January
2,024Participants+2% vs. prior year
$4.8MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#28 of 65Health care in ILBy participants

Overview

Sinai Health System sponsors a self-funded health plan that covered 2,024 participants in plan year 2025, up 2% 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
2,024 · prior year 1,985
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Sinai Health System Welfare Benefit Plan, plan 530 (2,024 participants)
Stop-loss carrier
Bluecross Blueshield of Illinois
Broker compensation
$626K 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
Bluecross Blueshield of IllinoisMedical, Prescription drug, HMO, Stop-loss2,003$21.0M$29K
The Lincoln National Life Insurance CompanyDental, Life, Short-term disability, Long-term disability2,661$3.3M$528K
Metropolitan Life Insurance CompanyVision3,647$423K$58K
The Guardian Life Insurance Company of AmericaDental466$96K$12K

Pharmacy benefit estimate

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

$4.8M/ year

Estimated prescription spend: 2,024 participants × $2,371 national average per member. Usually higher once dependents are counted.

$125K–$308K/ year

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

Brands with a generic available$36K–$91K
Lower-cost therapeutic alternatives$53K–$111K
Generic pricing vs. actual cost$23K–$69K
PBM contract terms$12K–$36K
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
Sinai Health System
Sponsor EIN
36-3166895
Plan number
530
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 36-3166895 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Sinai Health System Consolidated 403(b) Plan
Type
Defined contribution plan
Participants
5,833

About this data

Source: Sinai Health System'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 Sinai Health System.

Request a correction · Methodology