New York-Presbyterian/queens

Flushing, NY Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
2,373Participants-10% vs. prior year
$5.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#37 of 137Health care in NYBy participants

Overview

New York-Presbyterian/queens sponsors a self-funded health plan that covered 2,373 participants in plan year 2025, down 10% from the prior year. The plan year starts in January. 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
2,373 · prior year 2,640
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Newyork-Presbyterian/queens, plan 501 (2,373 participants)
Broker compensation
$40K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilitySeveranceOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Hartford Life and AccidentShort-term disability, Long-term disability, Life3,014$1.3M$30K
Aetna Life Insurance CompanyDental475$75K—
Metropolitan General Insurance CompanyLegal420$67K$10K

Pharmacy benefit estimate

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

$5.6M/ year

Estimated prescription spend: 2,373 participants × $2,371 national average per member. Usually higher once dependents are counted.

$146K–$361K/ year

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

Brands with a generic available$43K–$107K
Lower-cost therapeutic alternatives$62K–$131K
Generic pricing vs. actual cost$27K–$81K
PBM contract terms$14K–$42K
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
New York-Presbyterian/queens
Sponsor EIN
11-1839362
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 11-1839362 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: New York-Presbyterian/queens'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 New York-Presbyterian/queens.

Request a correction · Methodology