Boston Children's Health Physicians, LLP

Valhalla, NY Health careNAICS 621111

Self-funded health planPlan year 2025Renews January
813Participants+6% vs. prior year
$1.9MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#97 of 137Health care in NYBy participants

Overview

Boston Children's Health Physicians, LLP sponsors a self-funded health plan that covered 813 participants in plan year 2025, up 6% 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
813 · prior year 769
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Boston Children's Health Physicians,llp Employee Benefit Wrap Plan, plan 501 (813 participants)
Broker compensation
$46K 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
Sun Life and Health Insurance Company (u.s.)Dental, Vision, Short-term disability1,126$540K$39K
Sun Life Insurance and Annuity Company of New YorkLong-term disability801$263K$165
Lincoln Life & Annuity Company of New YorkLife813$79K$7K

Pharmacy benefit estimate

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

$1.9M/ year

Estimated prescription spend: 813 participants × $2,371 national average per member. Usually higher once dependents are counted.

$50K–$124K/ year

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

Brands with a generic available$15K–$37K
Lower-cost therapeutic alternatives$21K–$45K
Generic pricing vs. actual cost$9K–$28K
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
Boston Children's Health Physicians, LLP
Sponsor EIN
13-3956599
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 13-3956599 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Boston Children's Health Physicians, LLP 401(k) Retirement Plan
Type
401(k) plan
Participants
1,321

About this data

Source: Boston Children's Health Physicians, LLP'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 Boston Children's Health Physicians, LLP.

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