Occupational Health Centers of the Southwest, P.A.

Addison, TX Health careNAICS 621399

Self-funded health planPlan year 2025Renews January
1,102Participants+17% vs. prior year
$2.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#56 of 90Health care in TXBy participants

Overview

Occupational Health Centers of the Southwest, P.A. sponsors a self-funded health plan that covered 1,102 participants in plan year 2025, up 17% 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
1,102 · prior year 940
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Occupational Health Centers of the Southwest Welfare Benefit Plan, plan 501 (1,102 participants); Occupational Health Centers of the Southwest, P.A. Voluntary Employee Injury Benefits Plan, plan 502 (553 participants)
Stop-loss carrier
HM Life Insurance Company
Broker compensation
$266K 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
Metropolitan Life Insurance CompanyMedical, Life, Short-term disability, Long-term disability1,102$1.6M$198K
HM Life Insurance CompanyStop-loss875$1.4M$68K
Delta Dental Insurance CompanyDental841$749K—
Upmc Health OptionsMedical, Prescription drug26$261K—
Vision Service PlanVision739$110K—

Pharmacy benefit estimate

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

$2.6M/ year

Estimated prescription spend: 1,102 participants × $2,371 national average per member. Usually higher once dependents are counted.

$68K–$167K/ year

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

Brands with a generic available$20K–$50K
Lower-cost therapeutic alternatives$29K–$61K
Generic pricing vs. actual cost$13K–$38K
PBM contract terms$7K–$20K
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
Occupational Health Centers of the Southwest, P.A.
Sponsor EIN
75-2014828
Plan numbers
501, 502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 75-2014828 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Occupational Health Centers of the Southwest, P.A.'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 Occupational Health Centers of the Southwest, P.A..

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