Nysarc, Inc. Ulster Greene Putnam Counties Chapter
Overview
Nysarc, Inc. Ulster Greene Putnam Counties Chapter sponsors a self-funded health plan that covered 921 participants in plan year 2025, about the same as 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
- 921 · prior year 921
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Nysarc, Inc. Ulster Greene Putnam Counties Chapter Welfare Benefits Plan, plan 520 (921 participants); Nysarc, Inc. Ulster Greene Putnam Counties Chapter DBA the Arc Mid-Hudson Section 105(h) Health Reimbursement Plan, plan 510 (711 participants); Nysarc, Inc. Ulster Greene Putnam Counties Chapter Section 125 Cafeteria Plan, plan 504 (208 participants)
- Broker compensation
- $111K 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 |
|---|---|---|---|---|
| Symetra Life Insurance Company | Life, Short-term disability, Long-term disability | 908 | $725K | $95K |
| The Guardian Life Insurance Company of America | Dental, Vision | 672 | $54K | $11K |
| Metropolitan Life Insurance Company | Accident, Critical Illness | 270 | $36K | $5K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 921 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. Ulster Greene Putnam Counties Chapter
- Sponsor EIN
- 14-1437657
- Plan numbers
- 520, 510, 504
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 14-1437657 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Nysarc, Inc. Ulster Greene Putnam Counties 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. Ulster Greene Putnam Counties Chapter.