Springbrook NY, Inc.
Overview
Springbrook NY, Inc. sponsors a self-funded health plan that covered 1,581 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
- 1,581 · prior year 1,472
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Springbrook NY, Inc. Welfare Benefits Plan, plan 520 (1,581 participants); Springbrook NY, Inc. Section 125, plan 505 (272 participants)
- Broker compensation
- $27K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Excellus Blue Cross Blue Shield | Dental | 488 | $264K | $11K |
| Metropolitan Life Insurance Company | Life, Short-term disability, Long-term disability | 1,581 | $215K | — |
| First Unum Life Insurance Company | Life | 227 | $50K | $12K |
| The Guardian Life Insurance Company of America | Vision | 476 | $34K | $3K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,581 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Springbrook NY, Inc.
- Sponsor EIN
- 15-0539129
- Plan numbers
- 520, 505
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 15-0539129 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Springbrook and Affiliates 401(k)
- Type
- 401(k) plan
- Participants
- 2,053
About this data
Source: Springbrook NY, 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 Springbrook NY, Inc..