Sutter Valley Hospitals

Sacramento, CA Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
19,055Participants+6% vs. prior year
$45.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#6 of 68Health care in CABy participants

Overview

Sutter Valley Hospitals sponsors a self-funded health plan that covered 19,055 participants in plan year 2025, up 6% from the prior year. The plan year starts in January.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
19,055 · prior year 17,968
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Sutter Valley Operating Unit Self-Funded Health Plan, plan 525 (19,055 participants)
Medical

Pharmacy benefit estimate

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

$45.2M/ year

Estimated prescription spend: 19,055 participants × $2,371 national average per member. Usually higher once dependents are counted.

$1.2M–$2.9M/ year

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

Brands with a generic available$343K–$858K
Lower-cost therapeutic alternatives$501K–$1.0M
Generic pricing vs. actual cost$217K–$651K
PBM contract terms$113K–$339K
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 Valley Hospitals
Sponsor EIN
94-1156621
Plan number
525
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 94-1156621 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Sutter Valley 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 Valley Hospitals.

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