The Childrens Hospital of Philadelphia

Philadelphia, PA Health careNAICS 622000

Self-funded health planPlan year 2024Renews July
17,938ParticipantsFirst year on file
$42.5MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#4 of 64Health care in PABy participants

Overview

The Childrens Hospital of Philadelphia sponsors a self-funded health plan that covered 17,938 participants in plan year 2024. The plan year starts in July. 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
17,938
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
The Childrens Hospital of Philadelphia Master Welfare Benefit Plan, plan 501 (17,938 participants)
Stop-loss carrier
Reliastar Life Insurance Company
Broker compensation
$1.5M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-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 AccidentLife, Short-term disability, Long-term disability17,461$12.1M$1.2M
Reliastar Life Insurance CompanyStop-loss15,049$5.1M$253K
Aetna Life Insurance CompanyDental, AGB World Traveler8,976$2.0M$2K
UnitedHealthcare Insurance CompanyVision13,571$1.5M—
Metropolitan Life Insurance CompanyLife375$816K—
MetLife Legal Plans, Inc.Legal2,111$512K$56K
New York Life (life Insurance Company of North America)Business Travel Accident58$25K—

Pharmacy benefit estimate

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

$42.5M/ year

Estimated prescription spend: 17,938 participants × $2,371 national average per member. Usually higher once dependents are counted.

$1.1M–$2.7M/ year

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

Brands with a generic available$323K–$808K
Lower-cost therapeutic alternatives$472K–$987K
Generic pricing vs. actual cost$204K–$612K
PBM contract terms$106K–$319K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning July 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
The Childrens Hospital of Philadelphia
Sponsor EIN
23-1352166
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 23-1352166 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
The Children's Hospital of Philadelphia Retirement Savings Plan
Type
Defined contribution plan
Participants
32,162

About this data

Source: The Childrens Hospital of Philadelphia's Form 5500 filing for plan year 2024 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 Childrens Hospital of Philadelphia.

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