Optimum Healthcare It LLC

Jacksonville, FL Business servicesNAICS 561300

Self-funded health planPlan year 2025Renews January
874Participants+60% vs. prior year
$2.1MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#13 of 18Business services in FLBy participants

Overview

Optimum Healthcare It LLC sponsors a self-funded health plan that covered 874 participants in plan year 2025, up 60% 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
874 · prior year 545
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Optimum Healthcare It LLC, plan 501 (874 participants)
Broker compensation
$246K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
The Guardian Life Insurance Company of AmericaDental, Vision, Life, Short-term disability, Long-term disability874$1.1M$246K

Pharmacy benefit estimate

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

$2.1M/ year

Estimated prescription spend: 874 participants × $2,371 national average per member. Usually higher once dependents are counted.

$54K–$133K/ year

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

Brands with a generic available$16K–$39K
Lower-cost therapeutic alternatives$23K–$48K
Generic pricing vs. actual cost$10K–$30K
PBM contract terms$5K–$16K
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
Optimum Healthcare It LLC
Sponsor EIN
45-4481569
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 45-4481569 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Optimum HIT LLC 401k Profit Sharing Plan & Trust
Type
401(k) plan
Participants
1,233

About this data

Source: Optimum Healthcare It 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 Optimum Healthcare It LLC.

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