Northwell Health
Overview
Northwell Health sponsors a self-funded health plan that covered 41,584 participants in plan year 2025, down 23% 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
- 41,584 · prior year 53,955
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Northwell Health Flex Benefit Plan, plan 513 (41,584 participants); Retiree Hospital Major Medical, plan 511 (634 participants); Qualified Health Plan, plan 508 (231 participants)
- Broker compensation
- $2.0M across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Hartford Life and Accident | Long-term disability | 43,781 | $23.7M | $1.8M |
| Metropolitan Life Insurance Company | Vision | 74,450 | $3.9M | — |
| Cigna Health and Life Insurance Company and Affiliates | Dental | 18,257 | $3.0M | $5K |
| Continental American Insurance Company | Critical Illness Insurance | 2,024 | $1.1M | $186K |
| The Guardian Life Insurance Company of America | Long-term disability | 2,326 | $206K | $31K |
| Cigna Dental Health of New Jersey, Inc. | Dental, HMO | 262 | $74K | $142 |
| Cigna Healthcare of Connecticut, Inc. | Dental, HMO | 73 | $26K | $36 |
| Cigna Dental Health of Florida, Inc. | Dental, HMO | 106 | $24K | $58 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 41,584 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Northwell Health
- Sponsor EIN
- 11-3418133
- Plan numbers
- 513, 511, 508
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 11-3418133 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Northwell Health 403(b) Plan
- Type
- Defined contribution plan
- Participants
- 65,962
About this data
Source: Northwell Health'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 Northwell Health.