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NEW YORK STATE NURSES ASSOCIATION BENEFITS FUND

ALBANY, NY · EIN 237336001 · Form 990 · FY2024 · NTEE Y43 · Mutual & Membership Benefit · Very Large (>$50M) · rnbenefits.org
revenue
$584.7M
expenses
$557.7M
net assets
$47.1M
employees
53
mission · from form 990

TO PROVIDE HOSPITALIZATION, BASIC AND MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, OPTICAL, LIFE AND AD&D, SHORT TERM AND LONG TERM DISABILITY COVERAGE AND PAID FAMILY LEAVE (WHICH BEGAN IN 2018) TO REGISTERED NURSES AND OTHER HEALTHCARE PROFESSIONALS EMPLOYED BY EMPLOYERS WHOSE COLLECTIVE BARGAINING AGREEMENTS WITH THE NEW YORK STATE NURSES ASSOCIATION INCLUDED BENEFITS COVERAGE.

profile · synthesized from sources

The New York State Nurses Association Benefits Fund provides health and supplemental insurance benefits to registered nurses and other healthcare professionals covered under collective bargaining agreements with the New York State Nurses Association. It administers medical, dental, vision, prescription drug, life insurance, and short- and long-term disability coverage. The fund operates primarily in New York and serves union-represented healthcare workers and their dependents.

named programs · 9 · from sources

What they call their work

COBRA Continuation Coverage
Offers continuation of medical, dental, vision, and prescription drug coverage for up to 18 months (or up to 36 months under certain qualifying events) following loss of eligibility.
Dental Benefits
Covers preventive, basic, and major dental services through Aetna PPO network; includes full coverage for two cleanings per year at in-network providers.
Life Insurance
Provides group term life insurance equal to 150% of base annual compensation up to $50,000, with reductions at ages 65 and 70.
Long-Term Disability
Provides monthly benefits of 50% of base compensation up to $350 per month after a six-month qualifying period for total disability, offset by Social Security benefits.
Medical Benefits
Provides hospitalization, basic and major medical coverage through Anthem BlueCross BlueShield networks; includes in-network and out-of-network options with copayments and coinsurance structures.
Paid Family Leave
Administers New York State Paid Family Leave benefits for bonding after birth or adoption, or to care for a family member with a serious health condition.
Prescription Drug Benefits
Administered through Express Scripts with a three-tier formulary; covers maintenance medications via mail-order or designated retail pharmacies with copays ranging from $0 to $40.
Short-Term Disability
Offers income replacement at 66 2/3% of regular compensation up to $215 per week for up to 26 weeks due to nonoccupational illness, injury, or pregnancy.
Vision Benefits
Provides routine eye exams and eyewear benefits through Davis Vision; includes $10 copay for exams and low copay for glasses or contacts every two years.
activities · 4 groups

What they do

  • Union and Association Benefit Funds 8 activities
    • Administer health and welfare benefits for nurses and healthcare professionals
      Provides comprehensive health and welfare benefits including hospitalization, medical, dental, prescription drug, optical, life, accidental death and dismemberment (AD&D), short- and long-term disability, and paid family leave to registered nurses and other healthcare professionals covered under collective bargaining agreements. The fund administers these benefits under 45 collective bargaining agreements, covering approximately 18,000 active healthcare professionals and 22,000 dependents in New York.
    • Administer pension benefits
      Administers a pension plan requiring employment in a covered position with one of 29 participating employers. Provides information on pension calculation methods, portability, retirement options, and issues monthly pension payments to approximately 9,000 retired nurses or beneficiaries.
    • Conduct annual benefits enrollment
      Manages an annual open enrollment period for benefits coverage each year from November 1 to December 31.
    • Offer retiree and continuation health coverage
      Provides retiree health insurance options for Medicare-eligible and early retirees. Offers COBRA continuation coverage for medical, vision, prescription drug, and dental benefits to qualified beneficiaries who lose group health coverage due to a qualifying event, including up to 18 months of federal COBRA and an additional 18 months of state continuation coverage for medical benefits only. Premiums for COBRA are based on plan type and eligibility, with 2025 rates ranging from $1,383 to $1,436 per person per month.
    • Provide dental benefits
      Covers two dental cleanings per year at in-network providers at no cost to participants. Also includes coverage for other dental services as part of the overall health benefits package.
    • Provide long-term disability benefits
      Provides long-term disability benefits to participants who become totally disabled due to injury, illness, or pregnancy after completing a six-month qualifying period and obtaining Social Security disability determination.
    • Provide paid family leave benefits
      Offers job-protected, paid family leave at no cost to participants for bonding with a new child, caring for a seriously ill family member, or addressing family needs during a loved one's military deployment.
    • Provide vision care benefits
      Covers routine eye exams every two years (annually for children under 18) and a complete pair of eyeglasses or contact lenses every two years with a $10 copayment for participants and dependents through Davis Vision. Benefits also include services beyond basic exams as part of the vision plan.
  • Retirement Benefits Education & Support 1 activity
    • Deliver participant support and outreach
      Provides in-person and phone-based support to participants on healthcare and pension concerns, including scheduled visits and call-in hours at participating facilities. Notifies participants of upcoming events via social media, text messages, and email. Offers downloadable forms for enrollment, claims, and authorizations, and maintains an Information Directory to locate in-network providers and submit claims.
  • Pharmacy Access and Medication Assistance 1 activity
    • Provide prescription drug benefits
      Offers 90-day supplies of maintenance medications for chronic conditions through a mail-order pharmacy (Express Scripts) or at Walgreens and Duane Reade retail locations. Includes both retail and mail-order access to prescription drugs as part of the health benefits plan.
  • Uncategorized 1 activity
    • Produce benefits communications and disclosures
      Prepares and distributes key plan documents including Summary Plan Descriptions (effective July 1, 2024), Summaries of Material Modifications, Summaries of Benefits and Coverage for Plan A and B, Annual Reports, Summary Annual Reports, Privacy Notices, and surprise billing protections notices. Also discloses negotiated rates between Empire and network providers to meet transparency requirements.
financials · form 990 · fy2024
revenue
Total revenue$584.71M
Contributions & grants$00%
Program service revenue$581.16M99%
Investment income$3.55M1%
Other revenue$0
expenses
Total expenses$557.71M
Program expenses
Admin / overhead
Fundraising
Salaries & benefits$2.83M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$119.90M
Cash$92.43M
Investments$15.20M
Liabilities$72.80M
Net assets$47.09M
Liquid reserves2.3 mo
1 years on record · 2024–2024
leadership · form 990 part vii · fy2024

Who runs it

paid leadership · 5
NameTitleHours/wkCompensation
RONALD F LAMY CEO 18 $412K
CHRISTOPHER ROSETTI COO 18 $314K
DAVID STUTSRIM IT MANAGER 18 $211K
LINDA WHELTON BENEITS DEPT MGR 35 $183K
ALICIA BUCHAN CONTROLLER 18 $181K
board members · 16
  • ALLYSON SELBY — TRUSTEE
  • ARI MOMA — TRUSTEE
  • BARBARA LOGAN — TRUSTEE
  • DENNIS ZGODA — TRUSTEE
  • GUY MENONNA — TRUSTEE
  • JASON LIMSON — TRUSTEE
  • JEFFREY COHEN — TRUSTEE
  • JENNA HAYES — TRUSTEE
  • JOHN BARRETT — TRUSTEE
  • MARC KRAMER — TRUSTEE
  • NANCY HAGANS — TRUSTEE
  • NANCY KALEDA — TRUSTEE
  • PATRICIA KANE — TRUSTEE
  • ROBERT OLIVER — TRUSTEE
  • STACIE WILLIAMS — TRUSTEE
  • TRACEY KAVANAGH — TRUSTEE
relationships · 25

Who they work with

  • 29 participating employers Partner — Employers whose covered positions allow nurse participation in the pension plan
  • Aetna Partner — Administers dental benefits and determines usual and prevailing charges for out-of-network services.
  • Aetna Partner — Administers medical and prescription drug benefits for plan participants.
  • Aetna Partner — Provides benefits to fund participants.
  • Anthem BlueCross BlueShield Partner — Provides medical benefits and network services for participants outside Suffolk County, NY.
  • Anthem BlueCross BlueShield Partner — Provides medical insurance coverage and processes claims for participants.
  • Anthem BlueCross BlueShield Partner — Provides medical, vision, prescription drug, and dental benefits to fund participants.
  • Carelon Health Services Partner — Provides preauthorization services for radiology, physical therapy, and occupational therapy.
  • Davis Vision Partner — Administers vision care benefits and maintains in-network provider relationships.
  • Davis Vision Partner — Administrative and service partner for eyeglasses and contact lens benefits
  • Davis Vision Partner — Provides vision care benefits and processes vision-related claims.
  • Empire Government — Negotiates healthcare rates with participating providers as part of the Fund's network arrangements.
  • Empire PPO Partner — Provides medical benefits and network services for participants residing in Suffolk County, NY.
  • Express Scripts Partner — Administers prescription drug benefits, including mail-order and retail pharmacy services.
  • Express Scripts Partner — Manages prescription drug home delivery and reimbursement services.
  • Facebook Partner — Platform used for communication and outreach
  • MetLife Partner — Administers Paid Family Leave coverage for Benefits Fund participants.
  • MetLife Partner — Administers short-term disability benefits and related claims processing.
  • MetLife Partner — Enables conversion of life insurance coverage to individual policies under certain circumstances.
  • MetLife Partner — Provides benefits to fund participants.
  • NEW YORK STATE NURSES ASSOCIATION Network — Primary membership organization for nurses covered by the pension plan
  • NEW YORK STATE NURSES ASSOCIATION Partner — Collaborates with the New York State Nurses Association to provide benefits to members covered under collective bargaining agreements.
  • NYSNA Network — Member organization through which individuals must be affiliated to access benefits.
  • New York State Nurses Association Partner — Negotiates collective bargaining agreements that the Benefits Fund administers for healthcare professionals.
  • U.S. Department of Labor’s Employee Benefits Security Administration Government — Provides regulatory oversight and guidance for COBRA continuation coverage administration.
strategies · 3

How they approach the work

Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.

  • Collective Bargaining-Based Benefits Provision
    methodology: collective-bargaining-based benefits provision
    By negotiating benefits through collective bargaining agreements, the fund secures standardized, affordable, and comprehensive health and retirement coverage for nurses, because union-negotiated contracts leverage group power to achieve better terms and broader access than individual enrollment would allow.
  • Direct Participant Engagement for Benefits Utilization
    methodology: direct-participant-engagement
    By offering in-person visits and direct phone access, the fund improves participant understanding and use of healthcare and pension benefits, because personalized support increases trust, clarifies complex options, and reduces administrative barriers to enrollment and retention.
  • Gap-Filling Supplemental Coverage Design
    methodology: gap-filling_supplemental_coverage
    By designing retiree health benefits to fill gaps in Medicare coverage through supplemental and Medigap insurance, the fund ensures continuous and comprehensive care for aging nurses, because layered coverage reduces out-of-pocket costs and prevents coverage disruptions during retirement transitions.