Thomas Jefferson University

Philadelphia, PA EducationNAICS 611000

Self-funded health planPlan year 2024Renews July
32,763ParticipantsFirst year on file
$77.7MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#1 of 21Education in PABy participants

Overview

Thomas Jefferson University sponsors a self-funded health plan that covered 32,763 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
32,763
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
Jefferson Health and Welfare Plan, plan 531 (32,763 participants)
Stop-loss carrier
Sun Life Assurance Company of Canada
Broker compensation
$5.5M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilitySeveranceDeath benefitsOther 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, Short-term disability, Long-term disability, Medical33,283$40.2M$3.5M
Aetna Life Insurance Co.Dental54,936$17.4M—
Berkshire Life Insurance Company of AmericaLong-term disability2,998$4.3M$1.4M
Sun Life Assurance Company of CanadaStop-loss29,902$3.5M$139K
Metropolitan Life Insurance CompanyVision50,651$3.3M—
American Heritage Life Insurance CompanyLife886$894K$274K
Minnesota Life Insurance CompanyLife279$297K$11K
Legal Plans, USALegal Services1,674$266K$66K
Carebridge CorporationEmployee Assistance Program20,322$247K—
Firstcall Main Line HealthEmployee Assistance Program18,198$199K—
Zurich American Insurance CompanyBusiness Travel Accident30,400$8K$1K

Pharmacy benefit estimate

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

$77.7M/ year

Estimated prescription spend: 32,763 participants × $2,371 national average per member. Usually higher once dependents are counted.

$2.0M–$5.0M/ year

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

Brands with a generic available$590K–$1.5M
Lower-cost therapeutic alternatives$862K–$1.8M
Generic pricing vs. actual cost$373K–$1.1M
PBM contract terms$194K–$583K
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
Thomas Jefferson University
Sponsor EIN
23-1352651
Plan number
531
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 23-1352651 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Jefferson Defined Contribution Retirement Plan
Type
Defined contribution plan
Participants
31,847

About this data

Source: Thomas Jefferson University'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 Thomas Jefferson University.

Request a correction · Methodology