Catholic Health Services of Long Island

Rockville Centre, NY Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
14,363Participants+2% vs. prior year
$34.1MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#6 of 137Health care in NYBy participants

Overview

Catholic Health Services of Long Island sponsors a self-funded health plan that covered 14,363 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
14,363 · prior year 14,100
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Catholic Health Services of Long Island Health & Welfare Benefits Plan, plan 501 (14,363 participants)
Broker compensation
$912K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Metropolitan Life Insurance CompanyVision, Hospital Indemnity, Critical Illness, Accident18,590$5.4M$776K
Reliastar Life Insurance Co. of NYLife21,638$3.7M$73K
First Reliance Standard Life Insurance CompanyLong-term disability, Short-term disability5,472$3.3M$14K
Metropolitan General Insurance CompanyLegal2,178$451K$54K
Cigna Health and Life Insurance Company and AffiliatesDental, HMO2,175$306K—
Anthem Blue CrossVision22,801$205K$-6K

Pharmacy benefit estimate

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

$34.1M/ year

Estimated prescription spend: 14,363 participants × $2,371 national average per member. Usually higher once dependents are counted.

$885K–$2.2M/ year

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

Brands with a generic available$259K–$647K
Lower-cost therapeutic alternatives$378K–$790K
Generic pricing vs. actual cost$163K–$490K
PBM contract terms$85K–$255K
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
Catholic Health Services of Long Island
Sponsor EIN
11-3403968
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 11-3403968 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Catholic Health Services of Long Island'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 Catholic Health Services of Long Island.

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