The Cleveland Clinic Foundation

Cleveland, OH Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
73,882Participants-3% vs. prior year
$175.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 89Health care in OHBy participants

Overview

The Cleveland Clinic Foundation sponsors a self-funded health plan that covered 73,882 participants in plan year 2025, down 3% 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
73,882 · prior year 76,011
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Cleveland Clinic Welfare Benefits Plan, plan 530 (73,882 participants)
Broker compensation
$1.5M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Medmutual Life Insurance CompanyLife, Long-term disability67,242$14.5M$380K
Metropolitan Life Insurance CompanyShort-term disability, Life4,609$13.4M$19K
Fidelity Security Life Insurance CompanyVision43,537$8.5M—
Life Insurance Company of North AmericaBusiness Travel Accidental Death, Short-term disability, Long-term disability62,720$4.3M$114K
Trustmark Insurance CompanyLife1,432$2.4M$482K
MetLife Legal PlansLegal7,530$1.4M$171K
Unum Life Insurance Company of AmericaLong Term Care, Long-term disability2,205$1.3M$201K
Cigna Health and Life Insurance CompanyDental7,997$1.3M—
Lincoln National Life Insurance CompanyLong-term disability, Short-term disability1,779$952K$65K
American United Life Insurance CompanyLong-term disability, Short-term disability169$209K$29K
United Healthcare Insurance CompanyPrescription drug48$18K—

Pharmacy benefit estimate

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

$175.2M/ year

Estimated prescription spend: 73,882 participants × $2,371 national average per member. Usually higher once dependents are counted.

$4.6M–$11.2M/ year

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

Brands with a generic available$1.3M–$3.3M
Lower-cost therapeutic alternatives$1.9M–$4.1M
Generic pricing vs. actual cost$841K–$2.5M
PBM contract terms$438K–$1.3M
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 Cleveland Clinic Foundation
Sponsor EIN
34-0714585
Plan number
530
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 34-0714585 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Cleveland Clinic Savings and Investment Plan
Type
Defined contribution plan
Participants
88,028

About this data

Source: The Cleveland Clinic 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 Cleveland Clinic Foundation.

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