OHI West Medical Group II LLC

Zephyrhills, FL Health careNAICS 621111

Self-funded health planPlan year 2025Renews April
1,634Participants0% vs. prior year
$3.9MEst. pharmacy spend / yrParticipants × national avg.
Apr 2027Next renewalPlan year begins April 1
#35 of 89Health care in FLBy participants

Overview

OHI West Medical Group II LLC sponsors a self-funded health plan that covered 1,634 participants in plan year 2025, about the same as the prior year. The plan year starts in April.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,634 · prior year 1,634
Plan year
Begins April 1 · next renewal April 2027
Health plans filed
OHI West Medical Group II LLC, Welfare Benefits Plan, plan 501 (1,634 participants)
Medical

Pharmacy benefit estimate

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

$3.9M/ year

Estimated prescription spend: 1,634 participants × $2,371 national average per member. Usually higher once dependents are counted.

$101K–$248K/ year

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

Brands with a generic available$29K–$74K
Lower-cost therapeutic alternatives$43K–$90K
Generic pricing vs. actual cost$19K–$56K
PBM contract terms$10K–$29K
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 2025
Plan sponsor
OHI West Medical Group II LLC
Sponsor EIN
92-3479126
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 92-3479126 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Florida Medical Clinic, LLC 401(k) Plan and Trust
Type
401(k) plan
Participants
2,650

About this data

Source: OHI West Medical Group II LLC'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 OHI West Medical Group II LLC.

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