Preferred Home Care of New York

Brooklyn, NY Health careNAICS 621610

Self-funded health planPlan year 2025Renews June
6,263Participants+3% vs. prior year
$14.8MEst. pharmacy spend / yrParticipants × national avg.
Jun 2027Next renewalPlan year begins June 1
#11 of 137Health care in NYBy participants

Overview

Preferred Home Care of New York sponsors a self-funded health plan that covered 6,263 participants in plan year 2025, up 3% from the prior year. The plan year starts in June.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
6,263 · prior year 6,111
Plan year
Begins June 1 · next renewal June 2027
Health plans filed
Preferred Home Care of New York Employee Benefits Plan, plan 502 (6,263 participants)
Stop-loss carrier
Sirius America Insurance Company
Medical

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Sirius America Insurance CompanyStop-loss39,940$7.1M—

Pharmacy benefit estimate

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

$14.8M/ year

Estimated prescription spend: 6,263 participants × $2,371 national average per member. Usually higher once dependents are counted.

$386K–$952K/ year

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

Brands with a generic available$113K–$282K
Lower-cost therapeutic alternatives$165K–$345K
Generic pricing vs. actual cost$71K–$214K
PBM contract terms$37K–$111K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning June 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
Preferred Home Care of New York
Sponsor EIN
13-4335658
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 13-4335658 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Preferred Home Care of New York'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 Preferred Home Care of New York.

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