The Methodist Hospitals, Inc.

Gary, IN Health careNAICS 622000

Self-funded health planPlan year 2025Renews JanuaryCollectively bargained
1,996Participants+0% vs. prior year
$4.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#10 of 36Health care in INBy participants

Overview

The Methodist Hospitals, Inc. sponsors a self-funded health plan that covered 1,996 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
1,996 · prior year 1,989
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
The Methodist Hospitals, Inc. Group Health Plan, plan 502 (1,996 participants)
Broker compensation
$686K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Hartford Life and AccidentLife, Long-term disability2,912$2.0M$599K
Metropolitan Life Insurance CompanyDental3,104$1.1M$7K
Provident Life and Accident Insurance CompanyLife, Short-term disability1,383$334K$79K
Fidelity Security Life Insurance CompanyVision2,833$224K—
Perspectives LtdEmployee Assistance Program2,453$49K—
Unum Life Insurance Company of AmericaAccident, Critical Illness41$10K$1K

Pharmacy benefit estimate

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

$4.7M/ year

Estimated prescription spend: 1,996 participants × $2,371 national average per member. Usually higher once dependents are counted.

$123K–$303K/ year

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

Brands with a generic available$36K–$90K
Lower-cost therapeutic alternatives$53K–$110K
Generic pricing vs. actual cost$23K–$68K
PBM contract terms$12K–$35K
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 Methodist Hospitals, Inc.
Sponsor EIN
35-0868133
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 35-0868133 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
The Methodist Hospitals, Inc. 401(k) Savings Plan
Type
401(k) plan
Participants
3,768

About this data

Source: The Methodist Hospitals, Inc.'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 Methodist Hospitals, Inc..

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