Callen-Lorde Community Health Center
Overview
Callen-Lorde Community Health Center sponsors a self-funded health plan that covered 619 participants in plan year 2025, about the same as 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
- 619 · prior year 619
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Community Health Project DBA Callen-Lorde Community Health Center Benefits Plan, plan 503 (619 participants)
- Stop-loss carrier
- First Symetra National Life Ins Co. of NY
- Broker compensation
- $98K 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 |
|---|---|---|---|---|
| First Symetra National Life Ins Co. of NY | Stop-loss | 357 | $989K | $35K |
| Aetna Life Insurance Company | Dental | 591 | $350K | $23K |
| First Unum Life Insurance Company | Life, Short-term disability, Long-term disability | 377 | $295K | $35K |
| The Guardian Life Insurance Company | Vision | 362 | $55K | $5K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 619 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
- Callen-Lorde Community Health Center
- Sponsor EIN
- 13-3409680
- Plan number
- 503
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 13-3409680 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Callen-Lorde Community Health Center 403(b) Plan
- Type
- Defined contribution plan
- Participants
- 464
About this data
Source: Callen-Lorde Community Health 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 Callen-Lorde Community Health Center.