Riverside Health Care Center, Inc.

Valley Stream, NY Health careNAICS 623000

Self-funded health planPlan year 2024Renews October
5,710ParticipantsFirst year on file
$13.5MEst. pharmacy spend / yrParticipants × national avg.
Oct 2027Next renewalPlan year begins October 1
#12 of 137Health care in NYBy participants

Overview

Riverside Health Care Center, Inc. sponsors a self-funded health plan that covered 5,710 participants in plan year 2024. The plan year starts in October. 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
5,710
Plan year
Begins October 1 · next renewal October 2027
Health plans filed
National Health Care Assoc., Inc. & Affiliates Voluntary Employee Benefit Assoc. Plan, plan 501 (5,710 participants)
Stop-loss carrier
Zurich North American Insurance Company
Broker compensation
$493K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Hartford Life and AccidentLife, Short-term disability, Long-term disability5,611$3.7M$236K
Zurich North American Insurance CompanyStop-loss3,668$2.6M$257K
Delta Dental of New Jersey, Inc.Dental5,953$1.7M—
Aetna Life Insurance Co.Vision6,163$249K—

Pharmacy benefit estimate

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

$13.5M/ year

Estimated prescription spend: 5,710 participants × $2,371 national average per member. Usually higher once dependents are counted.

$352K–$868K/ year

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

Brands with a generic available$103K–$257K
Lower-cost therapeutic alternatives$150K–$314K
Generic pricing vs. actual cost$65K–$195K
PBM contract terms$34K–$102K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning October 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Riverside Health Care Center, Inc.
Sponsor EIN
06-1027526
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 06-1027526 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Riverside Health Care Center, Inc.'s Form 5500 filing for plan year 2024 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 Riverside Health Care Center, Inc..

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