NYU Langone Hospitals

New York, NY Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
15,466Participants+6% vs. prior year
$36.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#5 of 137Health care in NYBy participants

Overview

NYU Langone Hospitals sponsors a self-funded health plan that covered 15,466 participants in plan year 2025, up 6% 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
15,466 · prior year 14,652
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
NYU Langone Health Retiree Medical Account Plan, plan 552 (15,466 participants); NYU Langone Hospital-Suffolk Employee Health and Welfare Benefit Plan, plan 503 (931 participants)
Broker compensation
$242K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath 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 disability, Statutory Disability, Short-term disability17,657$20.4M$152K
Metropolitan Life Insurance CompanyDental, Life22,747$13.5M$78K
Delta Dental of New YorkDental12,711$5.1M—
Anthem Blue CrossVision23,234$1.4M—
Cigna Health and Life Insurance CompanyDental5,218$1.3M—
The Guardian Life Insurance Companyof AmericaDental875$119K$12K

Pharmacy benefit estimate

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

$36.7M/ year

Estimated prescription spend: 15,466 participants × $2,371 national average per member. Usually higher once dependents are counted.

$953K–$2.4M/ year

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

Brands with a generic available$279K–$697K
Lower-cost therapeutic alternatives$407K–$851K
Generic pricing vs. actual cost$176K–$528K
PBM contract terms$92K–$275K
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
NYU Langone Hospitals
Sponsor EIN
13-3971298
Plan numbers
552, 503
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 13-3971298 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
NYU Langone Health 403(b) Plan
Type
Defined contribution plan
Participants
50,458

About this data

Source: NYU Langone Hospitals'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 NYU Langone Hospitals.

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