Sun River Health, Inc.

Peekskill, NY Health careNAICS 621498

Self-funded health planPlan year 2025Renews January
1,714Participants+6% vs. prior year
$4.1MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#45 of 137Health care in NYBy participants

Overview

Sun River Health, Inc. sponsors a self-funded health plan that covered 1,714 participants in plan year 2025, up 6% 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
1,714 · prior year 1,622
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Sun River Health, Inc. Health and Welfare Plan, plan 501 (1,714 participants)
Broker compensation
$283K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Prudential Insurance Company of AmericaLife, Short-term disability, Long-term disability1,714$1.6M$149K
Aetna Life Insurance Co.Dental2,054$982K$48K
Metropolitan Life Insurance CompanyVision2,502$367K$18K
Transamerica Financial Life Insurance CompanyLife100$72K$65K
Employee Assistance GroupEmployee Assistance Program2,087$56K—
Pre-Paid Legal Services Inc. DBA LegalshieldLegal Services Plan Memberships112$22K$4K

Pharmacy benefit estimate

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

$4.1M/ year

Estimated prescription spend: 1,714 participants × $2,371 national average per member. Usually higher once dependents are counted.

$106K–$260K/ year

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

Brands with a generic available$31K–$77K
Lower-cost therapeutic alternatives$45K–$94K
Generic pricing vs. actual cost$20K–$59K
PBM contract terms$10K–$30K
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
Sun River Health, Inc.
Sponsor EIN
13-2828349
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 13-2828349 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Sun River Health, Inc. 403(b) Retirement Plan
Type
Defined contribution plan
Participants
3,065

About this data

Source: Sun River Health, 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 Sun River Health, Inc..

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