Riverside Health Care Systems, Inc.

Yonkers, NY Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
1,049Participants+1% vs. prior year
$2.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#73 of 137Health care in NYBy participants

Overview

Riverside Health Care Systems, Inc. sponsors a self-funded health plan that covered 1,049 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
1,049 · prior year 1,041
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Riverside Health Care Systems, Inc. Employee Health Plan, plan 501 (1,049 participants)
Broker compensation
$30K 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
First Unum Life Insurance CompanyLife, Long-term disability, Short-term disability520$263K$23K
Empire Healthchoice Assurance, Inc.Vision585$38K$7K
ComPsych CorporationEmployee Assistance Program904$9K—

Pharmacy benefit estimate

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

$2.5M/ year

Estimated prescription spend: 1,049 participants × $2,371 national average per member. Usually higher once dependents are counted.

$65K–$159K/ year

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

Brands with a generic available$19K–$47K
Lower-cost therapeutic alternatives$28K–$58K
Generic pricing vs. actual cost$12K–$36K
PBM contract terms$6K–$19K
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
Riverside Health Care Systems, Inc.
Sponsor EIN
13-1740126
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 13-1740126 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
St. John's Riverside Hospital 403(b) Retirement Plan
Type
Defined contribution plan
Participants
3,027

About this data

Source: Riverside Health Care Systems, 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 Riverside Health Care Systems, Inc..

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