Saratoga Hospital

Saratoga Springs, NY Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
3,615Participants+1% vs. prior year
$8.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#23 of 137Health care in NYBy participants

Overview

Saratoga Hospital sponsors a self-funded health plan that covered 3,615 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
3,615 · prior year 3,564
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
The Saratoga Hospital Group Benefit Plan, plan 507 (3,615 participants); Saratoga Care Inc. Flexible Spending Account, plan 505 (605 participants)
Broker compensation
$221K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath 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 disability3,502$2.8M$214K
Metropolitan Life Insurance CompanyVision3,396$363K—
Metropolitan General Insurance CompanyLegal274$52K$7K

Pharmacy benefit estimate

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

$8.6M/ year

Estimated prescription spend: 3,615 participants × $2,371 national average per member. Usually higher once dependents are counted.

$223K–$549K/ year

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

Brands with a generic available$65K–$163K
Lower-cost therapeutic alternatives$95K–$199K
Generic pricing vs. actual cost$41K–$123K
PBM contract terms$21K–$64K
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
Saratoga Hospital
Sponsor EIN
14-1338547
Plan numbers
507, 505
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 14-1338547 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Retirement Plan of Saratoga Hospital
Type
Defined contribution plan
Participants
4,323

About this data

Source: Saratoga Hospital'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 Saratoga Hospital.

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