Bronxcare Health System

Bronx, NY Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
880Participants-2% vs. prior year
$2.1MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#89 of 137Health care in NYBy participants

Overview

Bronxcare Health System sponsors a self-funded health plan that covered 880 participants in plan year 2025, down 2% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, prepaid legal, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
880 · prior year 898
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Group Health and Welfare Plan for Non-Union Employees, plan 507 (880 participants)
Broker compensation
$27K across insured contracts
MedicalLife insuranceDentalVisionPrepaid legalLong-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 YorkLong-term disability879$274K$11K
First Unum Life Insurance CompanyLife879$137K$7K
UnitedHealthcare Insurance CompanyVision644$52K$4K
Metropolitan General Insurance CompanyLegal256$49K$4K
Evernorth Care Solutions, Inc.Employee Assistance Program2,265$20K—

Pharmacy benefit estimate

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

$2.1M/ year

Estimated prescription spend: 880 participants × $2,371 national average per member. Usually higher once dependents are counted.

$54K–$134K/ year

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

Brands with a generic available$16K–$40K
Lower-cost therapeutic alternatives$23K–$48K
Generic pricing vs. actual cost$10K–$30K
PBM contract terms$5K–$16K
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
Bronxcare Health System
Sponsor EIN
13-1974191
Plan number
507
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 13-1974191 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
The Pension Plan and Trust for the Employees of Bronxcare Health System
Type
Pension plan
Participants
1,754

About this data

Source: Bronxcare Health System'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 Bronxcare Health System.

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