Wake Forest University

Winston-Salem, NC EducationNAICS 611000

Self-funded health planPlan year 2025Renews January
2,665Participants+3% vs. prior year
$6.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#2 of 9Education in NCBy participants

Overview

Wake Forest University sponsors a self-funded health plan that covered 2,665 participants in plan year 2025, up 3% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, prepaid legal, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
2,665 · prior year 2,586
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Wake Forest University Health and Welfare Benefit Plan, plan 501 (2,665 participants); Wake Forest University Retiree Welfare Benefit Program, plan 516 (567 participants)
Broker compensation
$45K across insured contracts
MedicalLife insuranceDentalVisionPrepaid legalLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Metropolitan Life Insurance CompanyDental, Vision5,117$2.4M$4K
Life Insurance Company of North AmericaLife, Long-term disability2,665$1.2M$18K
Genworth Life Insurance CompanyLong Term Care126$253K$19K
John Hancock Life Insurance Company USALong Term Care114$221K—
Arag Insurance CompanyLegal910$115K—
Provident Life and Accident Insurance CompanyLife61$38K$3K
Federal Insurance CompanyBusiness Travel Accident2,665$4K$1K

Pharmacy benefit estimate

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

$6.3M/ year

Estimated prescription spend: 2,665 participants × $2,371 national average per member. Usually higher once dependents are counted.

$164K–$405K/ year

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

Brands with a generic available$48K–$120K
Lower-cost therapeutic alternatives$70K–$147K
Generic pricing vs. actual cost$30K–$91K
PBM contract terms$16K–$47K
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
Wake Forest University
Sponsor EIN
56-0532138
Plan numbers
501, 516
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 56-0532138 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Wake Forest University Retirement Plan
Type
Defined contribution plan
Participants
5,655

About this data

Source: Wake Forest University'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 Wake Forest University.

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