Autumn Lake Healthcare LLC

Howell, NJ Health careNAICS 623000

Self-funded health planPlan year 2024Renews December
2,061ParticipantsFirst year on file
$4.9MEst. pharmacy spend / yrParticipants × national avg.
Dec 2026Next renewalPlan year begins December 1
#20 of 53Health care in NJBy participants

Overview

Autumn Lake Healthcare LLC sponsors a self-funded health plan that covered 2,061 participants in plan year 2024. The plan year starts in December.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
2,061
Plan year
Begins December 1 · next renewal December 2026
Health plans filed
Autumn Lake Health Plan, plan 501 (2,061 participants)
Broker compensation
$1.7M across insured contracts
Medical

Pharmacy benefit estimate

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

$4.9M/ year

Estimated prescription spend: 2,061 participants × $2,371 national average per member. Usually higher once dependents are counted.

$127K–$313K/ year

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

Brands with a generic available$37K–$93K
Lower-cost therapeutic alternatives$54K–$113K
Generic pricing vs. actual cost$23K–$70K
PBM contract terms$12K–$37K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning December 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
Autumn Lake Healthcare LLC
Sponsor EIN
47-2007153
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 47-2007153 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Autumn Lake Healthcare LLC'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 Autumn Lake Healthcare LLC.

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