Nysarc Inc. - NYC Chapter

New York, NY Health careNAICS 624100

Self-funded health planPlan year 2025Renews January
1,600Participants-5% vs. prior year
$3.8MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#49 of 137Health care in NYBy participants

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
MedicalLife insuranceDentalVisionLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
New York Life Group Insurance Company of New YorkLife, Long-term disability1,664$630K$32K
Cigna Health and Life Insurance Company and AffiliatesDental886$249K—
John Hancock Life Insurance CompanyLong Term Care254$188K—
First Unum Life Insurance CompanyLong Term Care384$169K—
Telus Health (US) Ltd.Employee Assistance Program2,414$21K—

Pharmacy benefit estimate

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

$3.8M/ year

Estimated prescription spend: 1,600 participants × $2,371 national average per member. Usually higher once dependents are counted.

$99K–$243K/ year

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

Brands with a generic available$29K–$72K
Lower-cost therapeutic alternatives$42K–$88K
Generic pricing vs. actual cost$18K–$55K
PBM contract terms$9K–$28K
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. - 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.

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