Epic Healthcare Management

Croton Hudson, NY Health careNAICS 623000

Self-funded health planPlan year 2024Renews December
622ParticipantsFirst year on file
$1.5MEst. pharmacy spend / yrParticipants × national avg.
Dec 2026Next renewalPlan year begins December 1
#116 of 137Health care in NYBy participants

Overview

Epic Healthcare Management sponsors a self-funded health plan that covered 622 participants in plan year 2024. The plan year starts in December.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
622
Plan year
Begins December 1 · next renewal December 2026
Health plans filed
Epic Healthcare Management, plan 501 (622 participants)
Stop-loss carrier
Aetna Life Insurance Company
Broker compensation
$211K across insured contracts
Medical

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Aetna Life Insurance CompanyStop-loss622$1.8M$211K

Pharmacy benefit estimate

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

$1.5M/ year

Estimated prescription spend: 622 participants × $2,371 national average per member. Usually higher once dependents are counted.

$38K–$95K/ 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 December 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
Epic Healthcare Management
Sponsor EIN
27-4757579
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 27-4757579 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Epic Healthcare Management'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 Epic Healthcare Management.

Request a correction · Methodology