Inspira Health Network, Inc.

Bridgeton, NJ Health careNAICS 622000

Self-funded health planPlan year 2024Renews April
7,765ParticipantsFirst year on file
$18.4MEst. pharmacy spend / yrParticipants × national avg.
Apr 2027Next renewalPlan year begins April 1
#2 of 53Health care in NJBy participants

Overview

Inspira Health Network, Inc. sponsors a self-funded health plan that covered 7,765 participants in plan year 2024. The plan year starts in April. 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
7,765
Plan year
Begins April 1 · next renewal April 2027
Health plans filed
Inspira Health Network Benefits Program, plan 501 (7,765 participants)
Broker compensation
$132K 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 CompanyLife7,263$1.3M$132K
Life Insurance Company of North AmericaLong-term disability4,959$1.2M—
Vision Service PlanVision4,136$569K—
Horizon Healthcare Dental, Inc.Dental539$165K—

Pharmacy benefit estimate

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

$18.4M/ year

Estimated prescription spend: 7,765 participants × $2,371 national average per member. Usually higher once dependents are counted.

$479K–$1.2M/ year

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

Brands with a generic available$140K–$350K
Lower-cost therapeutic alternatives$204K–$427K
Generic pricing vs. actual cost$88K–$265K
PBM contract terms$46K–$138K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning April 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Inspira Health Network, Inc.
Sponsor EIN
21-0634484
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 21-0634484 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Inspira Health Network 403(b) Savings Plan
Type
Defined contribution plan
Participants
10,415

About this data

Source: Inspira Health Network, Inc.'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 Inspira Health Network, Inc..

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