AOM Healthcare

Brooklyn, NY Health careNAICS 623000

Self-funded health planPlan year 2024Renews September
1,395ParticipantsFirst year on file
$3.3MEst. pharmacy spend / yrParticipants × national avg.
Sep 2027Next renewalPlan year begins September 1
#56 of 137Health care in NYBy participants

Overview

AOM Healthcare sponsors a self-funded health plan that covered 1,395 participants in plan year 2024. The plan year starts in September. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,395
Plan year
Begins September 1 · next renewal September 2027
Health plans filed
AOM Healthcare, plan 501 (1,395 participants)
Stop-loss carrier
Sirius America Insurance Company
Broker compensation
$73K across insured contracts
MedicalLife insuranceDentalVisionLong-term disability

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Sirius America Insurance CompanyMedical, Stop-loss736$607K$61K
Cigna Health and Life Insurance Company and AffiliatesDental, Vision502$237K$9K
Sun Life Assurance Company of CanadaLife, Long-term disability909$54K$3K

Pharmacy benefit estimate

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

$3.3M/ year

Estimated prescription spend: 1,395 participants × $2,371 national average per member. Usually higher once dependents are counted.

$86K–$212K/ year

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

Brands with a generic available$25K–$63K
Lower-cost therapeutic alternatives$37K–$77K
Generic pricing vs. actual cost$16K–$48K
PBM contract terms$8K–$25K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning September 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
AOM Healthcare
Sponsor EIN
82-2355071
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 82-2355071 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: AOM Healthcare'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 AOM Healthcare.

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