Opko Health, Inc.

Miami, FL Professional servicesNAICS 541700

Self-funded health planPlan year 2025Renews January
2,123Participants-30% vs. prior year
$5.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#10 of 53Professional services in FLBy participants

Overview

Opko Health, Inc. sponsors a self-funded health plan that covered 2,123 participants in plan year 2025, down 30% 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
2,123 · prior year 3,044
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Opko Health, Inc. Health and Welfare Plan, plan 501 (2,123 participants)
Broker compensation
$260K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Hartford Life and AccidentLife, Short-term disability, Long-term disability1,865$2.0M$131K
Aetna Life Insurance Co.Dental2,782$1.7M$107K
UnitedHealthcare Insurance CompanyVision2,793$155K$15K
Metropolitan General Insurance CompanyLegal200$55K$7K

Pharmacy benefit estimate

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

$5.0M/ year

Estimated prescription spend: 2,123 participants × $2,371 national average per member. Usually higher once dependents are counted.

$131K–$323K/ year

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

Brands with a generic available$38K–$96K
Lower-cost therapeutic alternatives$56K–$117K
Generic pricing vs. actual cost$24K–$72K
PBM contract terms$13K–$38K
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
Opko Health, Inc.
Sponsor EIN
75-2402409
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 75-2402409 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Opko Health, Inc. 401(k) Plan
Type
401(k) plan
Participants
3,727

About this data

Source: Opko Health, 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 Opko Health, Inc..

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