Englewood Hospital & Medical Center

Englewood, NJ Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
3,183Participants+3% vs. prior year
$7.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#11 of 53Health care in NJBy participants

Overview

Englewood Hospital & Medical Center sponsors a self-funded health plan that covered 3,183 participants in plan year 2025, up 3% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
3,183 · prior year 3,088
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Englewood Hospital Employee Benefits Plan, plan 515 (3,183 participants)
Broker compensation
$91K across insured contracts
MedicalLife insuranceDentalVisionLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Metropolitan Life Insurance CompanyLife, Long-term disability3,209$620K$91K

Pharmacy benefit estimate

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

$7.5M/ year

Estimated prescription spend: 3,183 participants × $2,371 national average per member. Usually higher once dependents are counted.

$196K–$484K/ year

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

Brands with a generic available$57K–$143K
Lower-cost therapeutic alternatives$84K–$175K
Generic pricing vs. actual cost$36K–$109K
PBM contract terms$19K–$57K
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
Englewood Hospital & Medical Center
Sponsor EIN
22-1487173
Plan number
515
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 22-1487173 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Retirement Income Plan of Englewood Hospital & Medical Center
Type
Defined contribution plan
Participants
4,293

About this data

Source: Englewood Hospital & 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 Englewood Hospital & Medical Center.

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