North Shore Hematology-Oncology Associates, P.C.

Port Jefferson Station, NY Health careNAICS 621111

Self-funded health planPlan year 2025Renews January

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1,234Participants+20% vs. prior year

$2.9MEst. pharmacy spend / yrParticipants × national avg.

Jan 2027Next renewalPlan year begins January 1

#66 of 137Health care in NYBy participants

Overview

North Shore Hematology-Oncology Associates, P.C. sponsors a self-funded health plan that covered 1,234 participants in plan year 2025, up 20% from the prior year. The plan year starts in January.

Plan type: ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants: 1,234 · prior year 1,032
Plan year: Begins January 1 · next renewal January 2027
Health plans filed: North Shore Hematology-Oncology Associates, P.C. Health and Welfare Benefits Plan, plan 501 (1,234 participants)

Medical

Pharmacy benefit estimate

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

$2.9M/ year

Estimated prescription spend: 1,234 participants × $2,371 national average per member. Usually higher once dependents are counted.

$76K–$188K/ year

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

Brands with a generic available$22K–$56K

Lower-cost therapeutic alternatives$32K–$68K

Generic pricing vs. actual cost$14K–$42K

PBM contract terms$7K–$22K

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: North Shore Hematology-Oncology Associates, P.C.
Sponsor EIN: 11-2419534
Plan number: 501
Filed with: U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 11-2419534 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: North Shore Hematology-Oncology Associates, P.C.'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 North Shore Hematology-Oncology Associates, P.C..

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