Oscar Management Corporation

New York, NY Finance & insuranceNAICS 524140

Self-funded health planPlan year 2025Renews January
2,402Participants-9% vs. prior year
$5.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#13 of 59Finance & insurance in NYBy participants

Overview

Oscar Management Corporation sponsors a self-funded health plan that covered 2,402 participants in plan year 2025, down 10% 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
2,402 · prior year 2,654
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Oscar Management Corporation Health and Welfare Plan, plan 501 (2,402 participants)
Broker compensation
$169K 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
Prudential Insurance Company of AmericaLife, Short-term disability, Long-term disability2,170$1.9M$82K
Cigna Health and Life Insurance CompanyAccident, Critical Illness, Hospital Indemnity2,213$416K$84K
Cigna Health and Life Insurance Company and AffiliatesDental, HMO4,151$94K$3K

Pharmacy benefit estimate

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

$5.7M/ year

Estimated prescription spend: 2,402 participants × $2,371 national average per member. Usually higher once dependents are counted.

$148K–$365K/ year

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

Brands with a generic available$43K–$108K
Lower-cost therapeutic alternatives$63K–$132K
Generic pricing vs. actual cost$27K–$82K
PBM contract terms$14K–$43K
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
Oscar Management Corporation
Sponsor EIN
47-3979452
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 47-3979452 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Oscar Health 401(k) Plan
Type
401(k) plan
Participants
3,134

About this data

Source: Oscar Management Corporation'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 Oscar Management Corporation.

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