Venza Care

Lakewood, NJ Health careNAICS 623000

Self-funded health planPlan year 2025Renews January
953Participants+55% vs. prior year
$2.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#35 of 53Health care in NJBy participants

Overview

Venza Care sponsors a self-funded health plan that covered 953 participants in plan year 2025, up 55% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports dental, vision.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
953 · prior year 617
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Venza Care, plan 501 (953 participants)
Stop-loss carrier
Sirius America Insurance Company
Broker compensation
$91K across insured contracts
MedicalDentalVision

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Blue Cross and Blue Shield of AlabamaDental, Medical, Prescription drug, Vision, PPO649$1.8M—
Sirius America Insurance CompanyMedical, Stop-loss950$526K$53K
GuardianDental, Vision1,012$418K$38K

Pharmacy benefit estimate

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

$2.3M/ year

Estimated prescription spend: 953 participants × $2,371 national average per member. Usually higher once dependents are counted.

$59K–$145K/ year

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

Brands with a generic available$17K–$43K
Lower-cost therapeutic alternatives$25K–$52K
Generic pricing vs. actual cost$11K–$33K
PBM contract terms$6K–$17K
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
Venza Care
Sponsor EIN
87-2595672
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 87-2595672 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Venza Care'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 Venza Care.

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