The Children's Hospital Corporation

Boston, MA Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
14,562Participants+5% vs. prior year
$34.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#4 of 40Health care in MABy participants

Overview

The Children's Hospital Corporation sponsors a self-funded health plan that covered 14,562 participants in plan year 2025, up 5% 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
14,562 · prior year 13,940
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Children's Hospital Boston Health and Welfare Benefit Plan, plan 501 (14,562 participants); The Children's Hospital Boston Health Care Reimbursement Account Plan, plan 502 (3,858 participants)
Broker compensation
$920K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Lincoln National Life Insurance CompanyLife, Short-term disability, Long-term disability14,562$9.1M$446K
The Lincoln National Life Insurance CompanyAccident, Critical Illness, Hospital2,016$1.2M$310K
Vision Service PlanVision8,368$1.2M$121K
Metropolitan General Insurance AgencyLegal1,608$325K$37K
Ace American Insurance CompanyBusiness Travel Accident13,940$28K$7K

Pharmacy benefit estimate

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

$34.5M/ year

Estimated prescription spend: 14,562 participants × $2,371 national average per member. Usually higher once dependents are counted.

$898K–$2.2M/ year

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

Brands with a generic available$262K–$656K
Lower-cost therapeutic alternatives$383K–$801K
Generic pricing vs. actual cost$166K–$497K
PBM contract terms$86K–$259K
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 Children's Hospital Corporation
Sponsor EIN
04-2774441
Plan numbers
501, 502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 04-2774441 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
The Children's Hospital Corporation Tax-Deferred Annuity Plan
Type
Defined contribution plan
Participants
26,644

About this data

Source: The Children's Hospital Corporation'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 Children's Hospital Corporation.

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