Hillside Children's Center

Rochester, NY Health careNAICS 624100

Self-funded health planPlan year 2025Renews January
919Participants+3% vs. prior year
$2.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#84 of 137Health care in NYBy participants

Overview

Hillside Children's Center sponsors a self-funded health plan that covered 919 participants in plan year 2025, up 3% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
919 · prior year 891
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Employee Benefits Plan of Hillside Children's Center, plan 503 (919 participants); Hillside Children's Center Medical Expense Reimbursement, plan 504 (407 participants)
Stop-loss carrier
Excellus Blue Cross Blue Shield
Broker compensation
$67K across insured contracts
MedicalLife insuranceDentalVisionLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Excellus Blue Cross Blue ShieldDental, Medical, Medical, RX, Stop-loss835$1.1M$24K
New York Life Group Insurance Company of NYLife, Long-term disability, Accidental Death & Dismemberment1,376$574K$22K
Hartford Life and AccidentMedical297$79K$14K
EyemedVision1,007$67K$7K

Pharmacy benefit estimate

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

$2.2M/ year

Estimated prescription spend: 919 participants × $2,371 national average per member. Usually higher once dependents are counted.

$57K–$140K/ year

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

Brands with a generic available$17K–$41K
Lower-cost therapeutic alternatives$24K–$51K
Generic pricing vs. actual cost$10K–$31K
PBM contract terms$5K–$16K
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
Hillside Children's Center
Sponsor EIN
16-0743039
Plan numbers
503, 504
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 16-0743039 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Hillside Children's Center 403(b) Plan
Type
Defined contribution plan
Participants
2,567

About this data

Source: Hillside Children's Center'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 Hillside Children's Center.

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