Consolidated Edison Company of New York, Inc. (EIN 13-5009340) and

Pearl River, NY UtilitiesNAICS 221100

Self-funded health planPlan year 2025Renews JanuaryCollectively bargained
15,247Participants+5% vs. prior year
$36.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 5Utilities in NYBy participants

Overview

Consolidated Edison Company of New York, Inc. (EIN 13-5009340) and sponsors a self-funded health plan that covered 15,247 participants in plan year 2025, up 5% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, prepaid legal, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
15,247 · prior year 14,465
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
The Consolidated Edison, Inc. Master Health Plan Covers Employees Within the CEI Erisa Controlled Group, plan 559 (15,247 participants)
Stop-loss carrier
Cigna Health and Life Insurance Company
Broker compensation
$141K across insured contracts
MedicalLife insuranceDentalVisionPrepaid legalLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Metropolitan Life Insurance CompanyLife, Long-term disability, Occupational Accidental Death & Dismembe, Dental18,818$21.3M—
Aetna Life Insurance Co.Medical, PPO1,250$17.9M—
EmblemhealthMedical, HMO944$13.7M—
Cigna Health and Life Insurance CompanyMedical, Prescription drug, Stop-loss1,183$11.2M$14K
MVP HealthcareMedical, HMO270$2.8M$99K
Emblem HealthMedical, HMO77$1.3M—
Aetna Health Insurance Co.PPO46$348K—
Cigna Health and Life Insurance Company and AffiliatesMedical224$209K—
Federal Insurance CompanyAccidental Death and Dismemberment15,247$110K$28K

Pharmacy benefit estimate

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

$36.2M/ year

Estimated prescription spend: 15,247 participants × $2,371 national average per member. Usually higher once dependents are counted.

$940K–$2.3M/ year

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

Brands with a generic available$275K–$687K
Lower-cost therapeutic alternatives$401K–$839K
Generic pricing vs. actual cost$174K–$521K
PBM contract terms$90K–$271K
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
Consolidated Edison Company of New York, Inc. (EIN 13-5009340) and
Sponsor EIN
13-5009340
Plan number
559
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 13-5009340 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Consolidated Edison Retirement Plan
Type
Pension plan
Participants
26,696

About this data

Source: Consolidated Edison Company of New York, Inc. (EIN 13-5009340) and'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 Consolidated Edison Company of New York, Inc. (EIN 13-5009340) and.

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