Nysarc Inc. - Nassau County Chapter

Brookville, NY Other servicesNAICS 813000

Self-funded health planPlan year 2025Renews January
2,237Participants-11% vs. prior year
$5.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#2 of 9Other services in NYBy participants

Overview

Nysarc Inc. - Nassau County Chapter sponsors a self-funded health plan that covered 2,237 participants in plan year 2025, down 11% 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
2,237 · prior year 2,519
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Nysarc Inc. - Nassau County Chapter Employee Welfare Plan, plan 501 (2,237 participants)
Stop-loss carrier
Anthem Blue Cross and Blue Shield
Broker compensation
$428K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Cigna Health and Life Insurance CompanyMedical1,230$3.5M$289K
Anthem Blue Cross and Blue ShieldVision, PPO, Stop-loss1,996$820K$324
Lincoln Life & Annuity Company of New YorkLife, Weekly Income, Long-term disability2,115$710K$41K
American Family Life Assurance Company of New YorkCancer and Accident285$451K$74K
Cigna Health and Life Insurance Company and Affiliates (cigna)Medical, Dental, HMO252$45K$1K
First Reliance Standard Life Insurance CompanyLong-term disability65$43K$9K

Pharmacy benefit estimate

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

$5.3M/ year

Estimated prescription spend: 2,237 participants × $2,371 national average per member. Usually higher once dependents are counted.

$138K–$340K/ year

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

Brands with a generic available$40K–$101K
Lower-cost therapeutic alternatives$59K–$123K
Generic pricing vs. actual cost$25K–$76K
PBM contract terms$13K–$40K
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
Nysarc Inc. - Nassau County Chapter
Sponsor EIN
11-1720254
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 11-1720254 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Nysarc Inc. - Nassau County Chapter'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 Nysarc Inc. - Nassau County Chapter.

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