United Cerebral Palsy of New York City
Overview
United Cerebral Palsy of New York City sponsors a self-funded health plan that covered 2,453 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
- 2,453 · prior year 2,415
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- United Cerebral Palsy of New York City Employee Benefits Plan, plan 501 (2,453 participants); United Cerebral Palsy of New York City Deductible Healthcare Reimbursement Account Plan, plan 504 (1,203 participants); United Cerebral Palsy of New York City Healthcare Reimbursement Account Plan, plan 503 (230 participants)
- Broker compensation
- $28K 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 |
|---|---|---|---|---|
| Sun Life and Health Insurance Company | Life, Dental, Vision | 2,453 | $712K | $6K |
| Anthem Blue Cross and Blue Shield | Dental, Vision | 1,683 | $395K | $13K |
| Prudential Insurance Company of America | Long-term disability | 179 | $52K | $4K |
| Mutual of Omaha Insurance Company | Long-term disability, Short-term disability | 272 | $46K | $5K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 2,453 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
- United Cerebral Palsy of New York City
- Sponsor EIN
- 13-5654532
- Plan numbers
- 501, 504, 503
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 13-5654532 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Tax Deferred Annuity Plan of Adapt Community Network
- Type
- 401(k) plan
- Participants
- 2,959
About this data
Source: United Cerebral Palsy of New York City'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 United Cerebral Palsy of New York City.