Harlem Children's Zone
Overview
Harlem Children's Zone sponsors a self-funded health plan that covered 885 participants in plan year 2024. The plan year starts in July. 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
- 885
- Plan year
- Begins July 1 · next renewal July 2027
- Health plans filed
- Harlem Children's Zone Employee Welfare Plan, plan 501 (885 participants)
- Broker compensation
- $65K 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 |
|---|---|---|---|---|
| First Reliance Standard Life Insurance Company | Short-term disability, Life, Long-term disability, Accidental Death & Dismemberment, VOL Accident, Critical Illness, Hospital Indemnity | 750 | $536K | $42K |
| Aetna Life Insurance Co. | Dental | 1,173 | $420K | $14K |
| Fidelity Security Life Insurance Company of New York | Vision | 758 | $50K | $3K |
| Arag Insurance Company | Legal | 374 | $41K | $5K |
| Federal Insurance Company | Business Travel Accident | 885 | $6K | $936 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 885 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 2024
- Plan sponsor
- Harlem Children's Zone
- Sponsor EIN
- 23-7112974
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 23-7112974 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Harlem Children's Zone, Inc. Profit Sharing Plan
- Type
- 401(k) plan
- Participants
- 1,600
About this data
Source: Harlem Children's Zone'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 Harlem Children's Zone.