Texas Children's Hospital

Houston, TX Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
15,674Participants+2% vs. prior year
$37.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#3 of 90Health care in TXBy participants

Overview

Texas Children's Hospital sponsors a self-funded health plan that covered 15,674 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
15,674 · prior year 15,390
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Texas Children's Hospital Health and Welfare Plan, plan 505 (15,674 participants)
Broker compensation
$1.2M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilitySeveranceOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Hartford Life and AccidentShort-term disability, Long-term disability10,951$10.1M$817K
Reliastar Life Insurance CompanyLife24,944$4.7M$234K
Vision Service PlanVision11,929$2.1M$107K

Pharmacy benefit estimate

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

$37.2M/ year

Estimated prescription spend: 15,674 participants × $2,371 national average per member. Usually higher once dependents are counted.

$966K–$2.4M/ year

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

Brands with a generic available$282K–$706K
Lower-cost therapeutic alternatives$413K–$862K
Generic pricing vs. actual cost$178K–$535K
PBM contract terms$93K–$279K
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
Texas Children's Hospital
Sponsor EIN
74-1100555
Plan number
505
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 74-1100555 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Texas Children's 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 Texas Children's Hospital.

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