House Calls Home Care

Brooklyn, NY Health careNAICS 621610

Self-funded health planPlan year 2025Renews January
2,536Participants-10% vs. prior year
$6.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#32 of 137Health care in NYBy participants

Overview

House Calls Home Care sponsors a self-funded health plan that covered 2,536 participants in plan year 2025, down 10% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports dental, vision.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
2,536 · prior year 2,829
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Housecalls Health Plan, plan 501 (2,536 participants)
MedicalDentalVisionOther welfare benefits

Pharmacy benefit estimate

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

$6.0M/ year

Estimated prescription spend: 2,536 participants × $2,371 national average per member. Usually higher once dependents are counted.

$156K–$385K/ year

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

Brands with a generic available$46K–$114K
Lower-cost therapeutic alternatives$67K–$139K
Generic pricing vs. actual cost$29K–$87K
PBM contract terms$15K–$45K
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
House Calls Home Care
Sponsor EIN
27-0381133
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 27-0381133 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: House Calls Home Care'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 House Calls Home Care.

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