Oconomowoc Residential Programs, Inc.

Oconomowoc, WI Professional servicesNAICS 541990

Self-funded health planPlan year 2025Renews January
1,347Participants+3% vs. prior year
$3.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#4 of 10Professional services in WIBy participants

Overview

Oconomowoc Residential Programs, Inc. sponsors a self-funded health plan that covered 1,347 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, short-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,347 · prior year 1,311
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Mypath Employee Benefit Plan, plan 501 (1,347 participants)
Broker compensation
$149K 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
Reliance Standard Life Insurance CompanyShort-term disability, Life, Long-term disability, Accident, Critical Illness, Hospital Indemnity1,289$966K$125K
Delta Dental of WisconsinDental871$401K$14K
Wyssta Insurance Company Inc.Vision732$106K$11K

Pharmacy benefit estimate

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

$3.2M/ year

Estimated prescription spend: 1,347 participants × $2,371 national average per member. Usually higher once dependents are counted.

$83K–$205K/ year

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

Brands with a generic available$24K–$61K
Lower-cost therapeutic alternatives$35K–$74K
Generic pricing vs. actual cost$15K–$46K
PBM contract terms$8K–$24K
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
Oconomowoc Residential Programs, Inc.
Sponsor EIN
39-1510207
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 39-1510207 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Mypath Employee Stock Ownership Plan
Type
Defined contribution plan
Participants
2,301

About this data

Source: Oconomowoc Residential Programs, Inc.'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 Oconomowoc Residential Programs, Inc..

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