Capital Health System
Overview
Capital Health System sponsors a self-funded health plan that covered 8,507 participants in plan year 2025, up 38% 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
- 8,507 · prior year 6,178
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Capital Health System Employee Welfare Benefit Plan, plan 510 (8,507 participants)
- Broker compensation
- $542K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Delta Dental of New Jersey, Inc. | Dental | 8,360 | $2.9M | $41K |
| Reliance Standard Life Insurance Company | Life, Long-term disability, Accidental Death and Dismemberment, Short-term disability | 5,239 | $2.7M | $294K |
| Aetna Life Insurance Co. | — | 2,322 | $685K | $172K |
| Eyemed Vision Care on Behalf of the Fidelity Security Life Insurance | Vision | 7,615 | $598K | $17K |
| MetLife Legal Plans | Legal | 991 | $178K | $18K |
| Carebridge Corp. | Employee Assistance Program | 6,746 | $121K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 8,507 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Capital Health System
- Sponsor EIN
- 22-3548695
- Plan number
- 510
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 22-3548695 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Capital Health Retirement Savings & Investment Plan
- Type
- Defined contribution plan
- Participants
- 8,231
About this data
Source: Capital 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 Capital Health System.