University Hospitals Health System

Shaker Heights, OH Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
28,444Participants+2% vs. prior year
$67.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#3 of 89Health care in OHBy participants

Overview

University Hospitals Health System sponsors a self-funded health plan that covered 28,444 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
28,444 · prior year 27,928
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
University Hospitals Health System Group Benefit Plan, plan 560 (28,444 participants)
Broker compensation
$861K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilitySeveranceDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Medmutual LifeLife28,444$11.3M$353K
Metropolitan Life Insurance CompanyLong-term disability, Short-term disability22,989$4.7M$391K
Cigna Health and Life Insurance Company and Affiliates (cigna)Dental5,984$1.2M—
MetLife Legal PlansLegal3,150$597K$90K
John Hancock Insurance CompanyGroup Long Term Care Insurance170$366K$27K
Medical Mutual of OhioMedical, Dental, Vision33$12K—

Pharmacy benefit estimate

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

$67.4M/ year

Estimated prescription spend: 28,444 participants × $2,371 national average per member. Usually higher once dependents are counted.

$1.8M–$4.3M/ year

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

Brands with a generic available$513K–$1.3M
Lower-cost therapeutic alternatives$749K–$1.6M
Generic pricing vs. actual cost$324K–$971K
PBM contract terms$169K–$506K
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 Hospitals Health System
Sponsor EIN
34-0714775
Plan number
560
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 34-0714775 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
University Hospitals Health System 403(b) Matched Retirement Savings Plan
Type
Defined contribution plan
Participants
39,654

About this data

Source: University Hospitals Health System'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 Hospitals Health System.

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