Villagecare

New York, NY Health careNAICS 624100

Self-funded health planPlan year 2025Renews January
1,113Participants+1% vs. prior year
$2.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#70 of 137Health care in NYBy participants

Overview

Villagecare sponsors a self-funded health plan that covered 1,113 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
1,113 · prior year 1,107
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Villagecare Employee Benefits Plan, plan 504 (1,113 participants)
Broker compensation
$149K 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
Lincoln Life and Annuity Company of New YorkLife, Short-term disability, Long-term disability971$759K$110K
AflacShort-term disability89$193K$39K
Aetna Life Insurance CompanyDental, Vision1,123$110K—

Pharmacy benefit estimate

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

$2.6M/ year

Estimated prescription spend: 1,113 participants × $2,371 national average per member. Usually higher once dependents are counted.

$69K–$169K/ year

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

Brands with a generic available$20K–$50K
Lower-cost therapeutic alternatives$29K–$61K
Generic pricing vs. actual cost$13K–$38K
PBM contract terms$7K–$20K
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
Villagecare
Sponsor EIN
13-3854754
Plan number
504
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 13-3854754 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
The Village Care Tax Deferred Annuity Plan
Type
Defined contribution plan
Participants
1,695

About this data

Source: Villagecare'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 Villagecare.

Request a correction · Methodology