Crouse Hospital
Overview
Crouse Hospital sponsors a self-funded health plan that covered 2,164 participants in plan year 2025. 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
- 2,164 · prior year 609
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Crouse Hospital Welfare Benefit Plan, plan 504 (2,164 participants)
- Broker compensation
- $71K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| New York Life Insurance Company of New York | Short-term disability, Long-term disability | 2,164 | $1.4M | $71K |
| Metropolitan Life Insurance Company | Vision | 3,112 | $231K | — |
| Symetra Life Insurance Company | Life, Short-term disability, Long-term disability | 2,164 | — | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 2,164 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Crouse Hospital
- Sponsor EIN
- 16-0960470
- Plan number
- 504
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 16-0960470 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Crouse Hospital 401(k) Plan
- Type
- 401(k) plan
- Participants
- 3,937
About this data
Source: Crouse 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 Crouse Hospital.