Therapymatch

New York, NY Health careNAICS 621420

Self-funded health planPlan year 2025Renews January
841Participants+50% vs. prior year
$2.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#92 of 137Health care in NYBy participants

Overview

Therapymatch sponsors a self-funded health plan that covered 841 participants in plan year 2025, up 50% 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
841 · prior year 560
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Therapymatch DBA Headway Health and Welfare Plan, plan 501 (841 participants)
Broker compensation
$67K 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
Cigna Health and Life Insurance Company AffiliatesDental, Vision817$626K$45K
Prudential Insurance Company of AmericaLife, Short-term disability, Long-term disability863$563K$17K
Cigna Health and Life Insurance CompanyMedical Benefits Aboard, Accident, Criti841$26K$5K

Pharmacy benefit estimate

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

$2.0M/ year

Estimated prescription spend: 841 participants × $2,371 national average per member. Usually higher once dependents are counted.

$52K–$128K/ year

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

Brands with a generic available$15K–$38K
Lower-cost therapeutic alternatives$22K–$46K
Generic pricing vs. actual cost$10K–$29K
PBM contract terms$5K–$15K
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
Therapymatch
Sponsor EIN
81-1203583
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 81-1203583 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Therapymatch'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 Therapymatch.

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