Orlando Health, Inc.

Orlando, FL Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
37,979Participants+9% vs. prior year
$90.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 89Health care in FLBy participants

Overview

Orlando Health, Inc. sponsors a self-funded health plan that covered 37,979 participants in plan year 2025, up 9% 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
37,979 · prior year 34,992
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Orlando Health Team Member Healthcare Plan, plan 504 (37,979 participants)
Broker compensation
$2.2M 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
Life Insurance Company of North AmericaLife, Long-term disability, Accidental Death and Dismemberment, Short-term disability38,375$29.7M$684K
Cigna Health and Life Insurance Company and AffiliatesDental28,065$15.6M$12K
Fidelity Security Life Insurance CompanyVision41,645$5.2M—
Continental American Insurance CompanyAccident, Critical Illness, Hospital Ind12,899$4.9M$1.4M
Metropolitan Life Insurance CompanyLife, Short-term disability64$191K$19K

Pharmacy benefit estimate

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

$90.0M/ year

Estimated prescription spend: 37,979 participants × $2,371 national average per member. Usually higher once dependents are counted.

$2.3M–$5.8M/ year

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

Brands with a generic available$684K–$1.7M
Lower-cost therapeutic alternatives$1,000K–$2.1M
Generic pricing vs. actual cost$432K–$1.3M
PBM contract terms$225K–$675K
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
Orlando Health, Inc.
Sponsor EIN
59-1726273
Plan number
504
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 59-1726273 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Orlando Health Retirement Savings Plan 403b
Type
Defined contribution plan
Participants
55,514

About this data

Source: Orlando 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 Orlando Health, Inc..

Request a correction · Methodology