Sutter Bay Hospitals

Sacramento, CA Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
22,059Participants+7% vs. prior year
$52.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#4 of 68Health care in CABy participants

Overview

Sutter Bay Hospitals sponsors a self-funded health plan that covered 22,059 participants in plan year 2025, up 7% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports dental, vision.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
22,059 · prior year 20,689
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Sutter Bay Operating Unit Self-Funded Health Plan, plan 502 (22,059 participants)
MedicalDentalVisionOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Sierra Health and Life Insurance Company, Inc.Medical, Prescription drug134$822K—
John Hancock Life Insurance CompanyLong Term Care77$213K—

Pharmacy benefit estimate

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

$52.3M/ year

Estimated prescription spend: 22,059 participants × $2,371 national average per member. Usually higher once dependents are counted.

$1.4M–$3.4M/ year

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

Brands with a generic available$397K–$994K
Lower-cost therapeutic alternatives$581K–$1.2M
Generic pricing vs. actual cost$251K–$753K
PBM contract terms$131K–$392K
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
Sutter Bay Hospitals
Sponsor EIN
94-0562680
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 94-0562680 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
California Pacific Medical Center Employee Savings Incentive Deferral Plan (esip III)
Type
Defined contribution plan
Participants
1,101

About this data

Source: Sutter Bay Hospitals'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 Sutter Bay Hospitals.

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