University Health System, Inc.

Knoxville, TN Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
4,610Participants-1% vs. prior year
$10.9MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#12 of 51Health care in TNBy participants

Overview

University Health System, Inc. sponsors a self-funded health plan that covered 4,610 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
4,610 · prior year 4,663
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
University Health System, Inc. Welfare Benefit Plan, plan 512 (4,610 participants)
Broker compensation
$434K 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
The Lincoln National Life Insurance CompanyCritical Illness, Accident, Life, Long-term disability, Short-term disability4,621$2.9M$408K
Humana Insurance CompanyVision3,301$330K$26K

Pharmacy benefit estimate

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

$10.9M/ year

Estimated prescription spend: 4,610 participants × $2,371 national average per member. Usually higher once dependents are counted.

$284K–$701K/ year

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

Brands with a generic available$83K–$208K
Lower-cost therapeutic alternatives$121K–$254K
Generic pricing vs. actual cost$52K–$157K
PBM contract terms$27K–$82K
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
University Health System, Inc.
Sponsor EIN
31-1626179
Plan number
512
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 31-1626179 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
University Health System, Inc. 403(b) Plan
Type
Defined contribution plan
Participants
7,661

About this data

Source: University Health System, 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 University Health System, Inc..

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