Aptean

Alpharetta, GA Information & technologyNAICS 511210

Self-funded health planPlan year 2025Renews January
773Participants+8% vs. prior year
$1.8MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#5 of 9Information & technology in GABy participants

Overview

Aptean sponsors a self-funded health plan that covered 773 participants in plan year 2025, up 8% from 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
773 · prior year 718
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Aptean Health & Welfare Plan, plan 501 (773 participants)
Broker compensation
$125K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid 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 CompanyDental1,345$674K$5K
Prudential Insurance Company of AmericaLife, Long-term disability773$635K$98K
Cigna Health and Life Insurance CompanyAccident, Critical Illness, Hospital773$89K$16K
Cigna Health and Life Insurance Company and AffiliatesVision1,327$73K—
Metropolitan General Insurance CompanyLegal68$16K$3K
Federal Insurance CompanyBusiness Travel Accident773$16K$3K

Pharmacy benefit estimate

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

$1.8M/ year

Estimated prescription spend: 773 participants × $2,371 national average per member. Usually higher once dependents are counted.

$48K–$117K/ year

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

Brands with a generic available$14K–$35K
Lower-cost therapeutic alternatives$20K–$43K
Generic pricing vs. actual cost$9K–$26K
PBM contract terms$5K–$14K
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
Aptean
Sponsor EIN
35-1665080
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 35-1665080 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Aptean 401k Plan
Type
401(k) plan
Participants
1,401

About this data

Source: Aptean'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 Aptean.

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