Ivoclar Vivadent Inc.

Amherst, NY Wholesale tradeNAICS 423990

Self-funded health planPlan year 2025Renews January
523Participants-4% vs. prior year
$1.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#23 of 24Wholesale trade in NYBy participants

Overview

Ivoclar Vivadent Inc. sponsors a self-funded health plan that covered 523 participants in plan year 2025, down 4% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, long-term disability, death benefits.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
523 · prior year 544
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Ivoclar Vivadent Benefit Bank Plan, plan 510 (523 participants)
Stop-loss carrier
HM Life Insurance Company of New York
Broker compensation
$58K across insured contracts
MedicalLife insuranceDentalLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Meritain HealthMedical261$653K—
Nova Healthcare Administrators Inc.Dental496$621K—
HM Life Insurance Company of New YorkStop-loss386$542K—
Lincoln Life and Annuity Company of New YorkLife, Long-term disability, Voluntary AD&D Spouse AD&D469$514K$42K
Pharmacy Benefit DimensionsPrescription drug870$486K$15K
Independent Health Benefits CorporationMedical119$74K—
New York Life Group Benefit SolutionsTravel & Accident313$3K$443

Pharmacy benefit estimate

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

$1.2M/ year

Estimated prescription spend: 523 participants × $2,371 national average per member. Usually higher once dependents are counted.

$32K–$79K/ year

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

Brands with a generic available$9K–$24K
Lower-cost therapeutic alternatives$14K–$29K
Generic pricing vs. actual cost$6K–$18K
PBM contract terms$3K–$9K
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
Ivoclar Vivadent Inc.
Sponsor EIN
16-1287874
Plan number
510
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 16-1287874 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Ivoclar Vivadent, Inc. 401(k) Retirement Plan
Type
401(k) plan
Participants
649

About this data

Source: Ivoclar Vivadent Inc.'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 Ivoclar Vivadent Inc..

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