Oaks Integrated Care

Mount Holly, NJ Health careNAICS 624100

Self-funded health planPlan year 2024Renews October
901ParticipantsFirst year on file
$2.1MEst. pharmacy spend / yrParticipants × national avg.
Oct 2027Next renewalPlan year begins October 1
#38 of 53Health care in NJBy participants

Overview

Oaks Integrated Care sponsors a self-funded health plan that covered 901 participants in plan year 2024. The plan year starts in October. 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
901
Plan year
Begins October 1 · next renewal October 2027
Health plans filed
Oaks Integrated Care Health and Welfare Plan, plan 502 (901 participants)
Broker compensation
$18K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Horizon Healthcare Services, Inc.Dental545$254K$3K
Prudential Insurance Company of AmericaLife896$177K$12K
Vision Benefits of AmericaVision474$44K$2K

Pharmacy benefit estimate

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

$2.1M/ year

Estimated prescription spend: 901 participants × $2,371 national average per member. Usually higher once dependents are counted.

$56K–$137K/ year

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

Brands with a generic available$16K–$41K
Lower-cost therapeutic alternatives$24K–$50K
Generic pricing vs. actual cost$10K–$31K
PBM contract terms$5K–$16K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning October 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
Oaks Integrated Care
Sponsor EIN
23-7048397
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 23-7048397 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Oaks Integrated Care, Inc. 403(b) Savings Plan
Type
Defined contribution plan
Participants
1,651

About this data

Source: Oaks Integrated Care'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 Oaks Integrated Care.

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