Orthocarolina P.A.
Overview
Orthocarolina P.A. sponsors a self-funded health plan that covered 1,570 participants in plan year 2025, down 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
- 1,570 · prior year 1,619
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Orthocarolina P.A. Health and Welfare Plan, plan 503 (1,570 participants)
- Broker compensation
- $36K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Unum Life Insurance Company of America | Accident, Hospital, Life, Short-term disability, Long-term disability | 1,336 | $1.4M | $16K |
| Cigna Health and Life Insurance Company and Affiliates | Dental, PPO | 2,103 | $1.0M | — |
| Vision Service Plan | Vision | 345 | $134K | — |
| Community Eye Care, LLC | Vision | 1,111 | $97K | — |
| Unum Insurance Company | Critical Illness | 207 | $78K | $19K |
| ComPsych | Employee Assistance Program | 1,485 | $29K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,570 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Orthocarolina P.A.
- Sponsor EIN
- 56-1093722
- Plan number
- 503
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 56-1093722 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Orthocarolina 401(k)and Profit Sharing Plan
- Type
- 401(k) plan
- Participants
- 2,739
About this data
Source: Orthocarolina P.A.'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 Orthocarolina P.A..