Cape Regional Medical Center

Cape MAY Courthouse, NJ Health careNAICS 622000

Self-funded health planPlan year 2025Renews JanuaryCollectively bargained
738Participants-4% vs. prior year
$1.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#44 of 53Health care in NJBy participants

Overview

Cape Regional Medical Center sponsors a self-funded health plan that covered 738 participants in plan year 2025, down 4% 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
738 · prior year 767
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Cape Regional Medical Center Health and Welfare Plan, plan 505 (738 participants)
Broker compensation
$38K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Hartford Life and AccidentLife, Short-term disability, Long-term disability794$351K$38K
Horizon Insurance CompanyVision319$31K—

Pharmacy benefit estimate

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

$1.7M/ year

Estimated prescription spend: 738 participants × $2,371 national average per member. Usually higher once dependents are counted.

$45K–$112K/ year

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

Brands with a generic available$13K–$33K
Lower-cost therapeutic alternatives$19K–$41K
Generic pricing vs. actual cost$8K–$25K
PBM contract terms$4K–$13K
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
Cape Regional Medical Center
Sponsor EIN
21-0662542
Plan number
505
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 21-0662542 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Cape Regional Medical Center Defined Contribution Retirement Plan
Type
Defined contribution plan
Participants
1,478

About this data

Source: Cape Regional Medical Center'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 Cape Regional Medical Center.

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