Orthopedic One

Westerville, OH Health careNAICS 621111

Self-funded health planPlan year 2025Renews January
792Participants-16% vs. prior year
$1.9MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#66 of 89Health care in OHBy participants

Overview

Orthopedic One sponsors a self-funded health plan that covered 792 participants in plan year 2025, down 16% 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
792 · prior year 939
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Orthopedic One Employee Health Plan, plan 501 (792 participants)
Broker compensation
$65K 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
Hartford Life and AccidentLife, Short-term disability, Long-term disability708$1.0M$65K
UnitedHealthcare Insurance CompanyDental, Vision500$409K—

Pharmacy benefit estimate

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

$1.9M/ year

Estimated prescription spend: 792 participants × $2,371 national average per member. Usually higher once dependents are counted.

$49K–$120K/ year

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

Brands with a generic available$14K–$36K
Lower-cost therapeutic alternatives$21K–$44K
Generic pricing vs. actual cost$9K–$27K
PBM contract terms$5K–$14K
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
Orthopedic One
Sponsor EIN
20-0503812
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 20-0503812 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Orthopedic One, Inc. 401(k) Plan
Type
401(k) plan
Participants
925

About this data

Source: Orthopedic One'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 Orthopedic One.

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