Balchem Corporation

Middletown, NY ManufacturingNAICS 311900

Self-funded health planPlan year 2025Renews JanuaryCollectively bargained
1,360Participants+27% vs. prior year
$3.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#18 of 45Manufacturing in NYBy participants

Overview

Balchem Corporation sponsors a self-funded health plan that covered 1,360 participants in plan year 2025, up 27% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, vision, short-term disability, long-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,360 · prior year 1,073
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Balchem Corporation Benefit Plan, plan 501 (1,360 participants)
Broker compensation
$5K across insured contracts
MedicalLife insuranceVisionShort-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
New York Life Group Insurance Company of New YorkLife, Long-term disability, Short-term disability, Accident137$634K$5K
UnitedHealthcare Insurance Company of New YorkVision1,964$123K—

Pharmacy benefit estimate

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

$3.2M/ year

Estimated prescription spend: 1,360 participants × $2,371 national average per member. Usually higher once dependents are counted.

$84K–$207K/ year

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

Brands with a generic available$25K–$61K
Lower-cost therapeutic alternatives$36K–$75K
Generic pricing vs. actual cost$15K–$46K
PBM contract terms$8K–$24K
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
Balchem Corporation
Sponsor EIN
13-2578432
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 13-2578432 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Balchem Corporation 401(k) Plan
Type
401(k) plan
Participants
1,702

About this data

Source: Balchem 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 Balchem Corporation.

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