Atlantic Health System

Morristown, NJ Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
1,302ParticipantsPrior year not comparable
$3.1MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#27 of 53Health care in NJBy participants

Overview

Atlantic Health System sponsors a self-funded health plan that covered 1,302 participants in plan year 2025. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,302 · prior year 580
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Memorial Health Foundation, Inc. Retired Employee Benefit Plan, plan 510 (1,302 participants)
Broker compensation
$941K across insured contracts
MedicalLife insuranceDentalVisionOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Delta Dental of New Jersey, Inc.Dental32,997$15.1M—
Metropolitan Life Insurance CompanyMedical, Critical Illness8,995$2.0M$915K
Vision Service PlanVision14,253$1.9M—
Sun Life Assurance Company of CanadaLife1,664$81K$13K
Federal Insurance CompanyAccidental Death & Dismemberment18,248$63K$13K

Pharmacy benefit estimate

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

$3.1M/ year

Estimated prescription spend: 1,302 participants × $2,371 national average per member. Usually higher once dependents are counted.

$80K–$198K/ year

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

Brands with a generic available$23K–$59K
Lower-cost therapeutic alternatives$34K–$72K
Generic pricing vs. actual cost$15K–$44K
PBM contract terms$8K–$23K
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
Atlantic Health System
Sponsor EIN
22-3380375
Plan number
510
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 22-3380375 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Employees' Cash Balance Plan of Atlantic Health System, Inc.
Type
Pension plan
Participants
9,363

About this data

Source: Atlantic 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 Atlantic Health System.

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