Nysarc Inc. - NYC Chapter
Overview
Nysarc Inc. - NYC Chapter sponsors a self-funded health plan that covered 1,600 participants in plan year 2025, down 6% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 1,600 · prior year 1,694
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Nysarc Inc. NYC Chapter Major Medical Health Plan, plan 502 (1,600 participants)
- Broker compensation
- $32K 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 |
|---|---|---|---|---|
| New York Life Group Insurance Company of New York | Life, Long-term disability | 1,664 | $630K | $32K |
| Cigna Health and Life Insurance Company and Affiliates | Dental | 886 | $249K | — |
| John Hancock Life Insurance Company | Long Term Care | 254 | $188K | — |
| First Unum Life Insurance Company | Long Term Care | 384 | $169K | — |
| Telus Health (US) Ltd. | Employee Assistance Program | 2,414 | $21K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,600 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
- Nysarc Inc. - NYC Chapter
- Sponsor EIN
- 13-5596746
- Plan number
- 502
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 13-5596746 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Pension Plan for Direct Labor Employees
- Type
- Defined contribution plan
- Participants
- 670
About this data
Source: Nysarc Inc. - NYC 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. - NYC Chapter.


