ENT and Allergy Associates, LLP

Tarrytown, NY Health careNAICS 621111

Self-funded health planPlan year 2024Renews July
963ParticipantsFirst year on file
$2.3MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#82 of 137Health care in NYBy participants

Overview

ENT and Allergy Associates, LLP sponsors a self-funded health plan that covered 963 participants in plan year 2024. The plan year starts in July. Alongside medical, its benefits filing reports short-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
963
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
ENT and Allergy Associates, LLP Employee Benefits Plan, plan 501 (963 participants)
Broker compensation
$83K across insured contracts
MedicalShort-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
AflacShort-term disability139$491K$83K

Pharmacy benefit estimate

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

$2.3M/ year

Estimated prescription spend: 963 participants × $2,371 national average per member. Usually higher once dependents are counted.

$59K–$146K/ year

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

Brands with a generic available$17K–$43K
Lower-cost therapeutic alternatives$25K–$53K
Generic pricing vs. actual cost$11K–$33K
PBM contract terms$6K–$17K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning July 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
ENT and Allergy Associates, LLP
Sponsor EIN
13-4000192
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 13-4000192 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
ENT and Allergy Associates, LLP Retirement Savings Plan I
Type
401(k) plan
Participants
1,103

About this data

Source: ENT and Allergy Associates, LLP's Form 5500 filing for plan year 2024 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 ENT and Allergy Associates, LLP.

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