Progyny, Inc.

New York, NY Finance & insuranceNAICS 524290

Self-funded health planPlan year 2025Renews January
689Participants+7% vs. prior year
$1.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#46 of 59Finance & insurance in NYBy participants

Overview

Progyny, Inc. sponsors a self-funded health plan that covered 689 participants in plan year 2025, up 7% 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
689 · prior year 645
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Progyny, Inc. Employee Health and Welfare Benefits Plan, plan 501 (689 participants)
Broker compensation
$6K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Lincoln Life & Annuity Company of New YorkLife, Short-term disability, Long-term disability646$231K$6K
Cigna Health and Life Insurance CompanyVision1,492$78K—

Pharmacy benefit estimate

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

$1.6M/ year

Estimated prescription spend: 689 participants × $2,371 national average per member. Usually higher once dependents are counted.

$42K–$105K/ year

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

Brands with a generic available$12K–$31K
Lower-cost therapeutic alternatives$18K–$38K
Generic pricing vs. actual cost$8K–$24K
PBM contract terms$4K–$12K
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
Progyny, Inc.
Sponsor EIN
27-2220139
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 27-2220139 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Progyny, Inc. 401(k) Plan
Type
401(k) plan
Participants
966

About this data

Source: Progyny, Inc.'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 Progyny, Inc..

Request a correction · Methodology