Ortholonestar, PLLC

Houston, TX Health careNAICS 621111

Self-funded health planPlan year 2025Renews January
1,107Participants+4% vs. prior year
$2.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#55 of 90Health care in TXBy participants

Overview

Ortholonestar, PLLC sponsors a self-funded health plan that covered 1,107 participants in plan year 2025, up 4% 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
1,107 · prior year 1,060
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Ortholonestar, PLLC Health and Welfare Plan, plan 501 (1,107 participants)
Broker compensation
$203K 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
Bluecross Blueshield of TexasDental1,623$810K$53K
Dearborn Life Insurance CompanyVision, Life, Short-term disability, Long-term disability263$755K$111K
American Heritage Life Insurance CompanyHospital, Accident, Critical Illness215$165K$39K

Pharmacy benefit estimate

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

$2.6M/ year

Estimated prescription spend: 1,107 participants × $2,371 national average per member. Usually higher once dependents are counted.

$68K–$168K/ year

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

Brands with a generic available$20K–$50K
Lower-cost therapeutic alternatives$29K–$61K
Generic pricing vs. actual cost$13K–$38K
PBM contract terms$7K–$20K
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
Ortholonestar, PLLC
Sponsor EIN
84-2136648
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 84-2136648 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Ortholonestar 401(k) Retirement Plan
Type
401(k) plan
Participants
1,919

About this data

Source: Ortholonestar, PLLC'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 Ortholonestar, PLLC.

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