Careabout MSO, LLC

New York, NY Health careNAICS 621610

Self-funded health planPlan year 2025Renews January
612Participants-20% vs. prior year
$1.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#119 of 137Health care in NYBy participants

Overview

Careabout MSO, LLC sponsors a self-funded health plan that covered 612 participants in plan year 2025, down 20% 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
612 · prior year 762
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Careabout MSO, LLC Health and Welfare Benefit Plan, plan 501 (612 participants); Careabout MSO, LLC Group Medical Plan, plan 502 (383 participants)
Stop-loss carrier
Crum & Forster
Broker compensation
$73K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Crum & ForsterStop-loss340$488K—
Aetna Life Insurance CompanyDental, Accident, Critical Illness, Hospital816$417K$45K
Aetna Life Insurance Co.Dental501$194K$10K
Lincoln Life and Annuity Company of New YorkLife, Short-term disability, Long-term disability267$193K$17K
Vision Service PlanVision48$12K$585

Pharmacy benefit estimate

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

$1.5M/ year

Estimated prescription spend: 612 participants × $2,371 national average per member. Usually higher once dependents are counted.

$38K–$93K/ year

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

Brands with a generic available$11K–$28K
Lower-cost therapeutic alternatives$16K–$34K
Generic pricing vs. actual cost$7K–$21K
PBM contract terms$4K–$11K
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
Careabout MSO, LLC
Sponsor EIN
87-4407782
Plan numbers
501, 502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 87-4407782 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Careabout MSO, LLC'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 Careabout MSO, LLC.

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