The Nemours Foundation

Jacksonville, FL Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
10,856Participants+20% vs. prior year
$25.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#5 of 89Health care in FLBy participants

Overview

The Nemours Foundation sponsors a self-funded health plan that covered 10,856 participants in plan year 2025, up 20% 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
10,856 · prior year 9,017
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Nemours Foundation Employee Welfare Benefit Plan, plan 513 (10,856 participants)
Broker compensation
$1.4M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Lincoln National Life Insurance CompanyLife, Long-term disability9,200$4.2M$742K
The Lincoln National Life Insurance CompanyAccident, Critical Illness, Hospital Indemnity2,485$966K$623K
Vision Service PlanVision6,504$904K$44K
MetLife Legal PlansLegal1,211$255K$34K

Pharmacy benefit estimate

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

$25.7M/ year

Estimated prescription spend: 10,856 participants × $2,371 national average per member. Usually higher once dependents are counted.

$669K–$1.6M/ year

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

Brands with a generic available$196K–$489K
Lower-cost therapeutic alternatives$286K–$597K
Generic pricing vs. actual cost$124K–$371K
PBM contract terms$64K–$193K
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 Nemours Foundation
Sponsor EIN
59-0634433
Plan number
513
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 59-0634433 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
The Nemours Foundation Section 403(b) Plan
Type
Defined contribution plan
Participants
16,535

About this data

Source: The Nemours 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 Nemours Foundation.

Request a correction · Methodology