Canton-Potsdam Hospital

Potsdam, NY Health careNAICS 622000

Self-funded health planPlan year 2025Renews JanuaryCollectively bargained
752Participants-20% vs. prior year
$1.8MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#102 of 137Health care in NYBy participants

Overview

Canton-Potsdam Hospital sponsors a self-funded health plan that covered 752 participants in plan year 2025, down 21% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports dental, vision.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
752 · prior year 946
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
St. Lawrence Health System Welfare Benefit Plan for Canton-Potsdam Hospital, plan 501 (752 participants)
MedicalDentalVision

Pharmacy benefit estimate

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

$1.8M/ year

Estimated prescription spend: 752 participants × $2,371 national average per member. Usually higher once dependents are counted.

$46K–$114K/ year

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

Brands with a generic available$14K–$34K
Lower-cost therapeutic alternatives$20K–$41K
Generic pricing vs. actual cost$9K–$26K
PBM contract terms$4K–$13K
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
Canton-Potsdam Hospital
Sponsor EIN
16-1012691
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 16-1012691 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Canton-Potsdam Hospital'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 Canton-Potsdam Hospital.

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