Brookdale Hospital Medical Center
Overview
Brookdale Hospital Medical Center sponsors a self-funded health plan that covered 1,289 participants in plan year 2025, down 30% 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
- 1,289 · prior year 1,843
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- One Brooklyn Health System Health & Welfare Plan, plan 509 (1,289 participants)
- Broker compensation
- $139K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Delta Dental of New York | Dental | 1,582 | $827K | $83K |
| First Unum Life Insurance Company | Life, Short-term disability, Long-term disability, Long Term Care | 831 | $326K | $36K |
| First Reliance Standard Life Insurance Company | Long-term disability | 239 | $130K | $7K |
| Hartford Life and Accident | Life, Long-term disability | 869 | $113K | $10K |
| Life Insurance Company of Boston and New York | Life | 68 | $47K | $3K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,289 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Brookdale Hospital Medical Center
- Sponsor EIN
- 11-1631746
- Plan number
- 509
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 11-1631746 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Brookdale Hospital Medical Center'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 Brookdale Hospital Medical Center.


