Triboro Administrative Services, LLC
Overview
Triboro Administrative Services, LLC sponsors a self-funded health plan that covered 1,078 participants in plan year 2024. The plan year starts in April. 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
- 1,078
- Plan year
- Begins April 1 · next renewal April 2027
- Health plans filed
- Triboro Administrative Services, LLC Welfare Benefits Plan, plan 501 (1,078 participants)
- Broker compensation
- $196K 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 |
|---|---|---|---|---|
| First Unum Life Insurance Company | Life, Short-term disability, Long-term disability | 1,078 | $719K | $105K |
| Delta Dental of New York | Dental | 666 | $403K | $40K |
| Provident Life and Casualty Insurance Company | Hospital Indemnity, Critical Illness, Accident | 320 | $117K | $49K |
| Vision Service Plan | Vision | 428 | $51K | $2K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,078 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 2024
- Plan sponsor
- Triboro Administrative Services, LLC
- Sponsor EIN
- 32-0618921
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 32-0618921 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Rendr Care Physicians 401(k) Plan
- Type
- 401(k) plan
- Participants
- 1,418
About this data
Source: Triboro Administrative Services, LLC's Form 5500 filing for plan year 2024 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 Triboro Administrative Services, LLC.