Orthopaedics-Indianapolis LLC

Indianapolis, IN Health careNAICS 621111

Self-funded health planPlan year 2025Renews January
1,037Participants+13% vs. prior year
$2.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#20 of 36Health care in INBy participants

Overview

Orthopaedics-Indianapolis LLC sponsors a self-funded health plan that covered 1,037 participants in plan year 2025, up 13% 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
1,037 · prior year 921
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Orthopaedics-Indianapolis, Inc. Welfare Benefit Plan, plan 501 (1,037 participants)
Broker compensation
$103K 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 Lincoln National Life Insurance CompanyAccident, Critical Illness, Hospital Indemnity, Life, Long-term disability1,058$760K$63K
Health Resources Inc.Dental529$555K$39K
United Healthcare Insurance CompanyTransplant1,767$111K—
Fidelity Security Life Insurance CompanyVision740$96K$1K

Pharmacy benefit estimate

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

$2.5M/ year

Estimated prescription spend: 1,037 participants × $2,371 national average per member. Usually higher once dependents are counted.

$64K–$158K/ year

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

Brands with a generic available$19K–$47K
Lower-cost therapeutic alternatives$27K–$57K
Generic pricing vs. actual cost$12K–$35K
PBM contract terms$6K–$18K
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
Orthopaedics-Indianapolis LLC
Sponsor EIN
35-1090576
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 35-1090576 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Orthopaedics Indianapolis, Inc. Profit Sharing & 401(k) Plan
Type
401(k) plan
Participants
1,584

About this data

Source: Orthopaedics-Indianapolis 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 Orthopaedics-Indianapolis LLC.

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