The Carle Foundation

Urbana, IL Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
14,735Participants+18% vs. prior year
$34.9MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#6 of 65Health care in ILBy participants

Overview

The Carle Foundation sponsors a self-funded health plan that covered 14,735 participants in plan year 2025, up 18% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, long-term disability, death benefits.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
14,735 · prior year 12,461
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
The Carle Foundation Employees Health Insurance Plan, plan 504 (14,735 participants); The Carle Foundation Section 125 Plan, plan 509 (3,285 participants)
Broker compensation
$609K across insured contracts
MedicalLife insuranceDentalLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Hartford Life and AccidentLong-term disability, Life14,953$6.1M$609K
Life Insurance Company of North AmericaAccidental Death and Dismemberment12,461$2K$363

Pharmacy benefit estimate

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

$34.9M/ year

Estimated prescription spend: 14,735 participants × $2,371 national average per member. Usually higher once dependents are counted.

$908K–$2.2M/ year

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

Brands with a generic available$266K–$664K
Lower-cost therapeutic alternatives$388K–$811K
Generic pricing vs. actual cost$168K–$503K
PBM contract terms$87K–$262K
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
The Carle Foundation
Sponsor EIN
37-0673465
Plan numbers
504, 509
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 37-0673465 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Carle Health Central Illinois Pension Plan
Type
Pension plan
Participants
2,951

About this data

Source: The Carle Foundation'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 The Carle Foundation.

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