The Promptcare Companies

New Providence, NJ Health careNAICS 621610

Self-funded health planPlan year 2025Renews January
789Participants0% vs. prior year
$1.9MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#41 of 53Health care in NJBy participants

Overview

The Promptcare Companies sponsors a self-funded health plan that covered 789 participants in plan year 2025, about the same as 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
789 · prior year 789
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
The Promptcare Employee Welfare Plan, plan 501 (789 participants)
Broker compensation
$195K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Sun Life Assurance Company of CanadaDental, Vision, Life, Short-term disability, Long-term disability761$1.1M$191K
Metropolitan General Insurance CompanyLegal99$23K$4K

Pharmacy benefit estimate

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

$1.9M/ year

Estimated prescription spend: 789 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–$43K
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
The Promptcare Companies
Sponsor EIN
22-2773861
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 22-2773861 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
The Promptcare Companies, Inc. 401(k) Plan
Type
Defined contribution plan
Participants
999

About this data

Source: The Promptcare Companies'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 The Promptcare Companies.

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