Capital RX, Inc.

New York, NY Business servicesNAICS 561110

Self-funded health planPlan year 2025Renews January
987Participants+31% vs. prior year
$2.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#5 of 9Business services in NYBy participants

Overview

Capital RX, Inc. sponsors a self-funded health plan that covered 987 participants in plan year 2025, up 31% 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
987 · prior year 752
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Capital RX, Inc. Welfare Benefit Plan, plan 501 (987 participants)
Broker compensation
$11K 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
First Unum Life Insurance CompanyLife, Short-term disability, Long-term disability987$495K$10K
Delta Dental of New YorkDental1,586$464K—
Cigna Health and Life Insurance CompanyAccident, Hospital, Critical Illness987$141K—
National Vision Administrators, L.l.c.Vision1,432$81K—
Zurich American Insurance CompanyBusiness Travel Accident987$5K$947

Pharmacy benefit estimate

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

$2.3M/ year

Estimated prescription spend: 987 participants × $2,371 national average per member. Usually higher once dependents are counted.

$61K–$150K/ year

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

Brands with a generic available$18K–$44K
Lower-cost therapeutic alternatives$26K–$54K
Generic pricing vs. actual cost$11K–$34K
PBM contract terms$6K–$18K
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
Capital RX, Inc.
Sponsor EIN
35-2612946
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 35-2612946 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Capital RX 401(k) Plan
Type
401(k) plan
Participants
1,241

About this data

Source: Capital RX, Inc.'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 Capital RX, Inc..

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