Adac Plastics, Inc.
Overview
Adac Plastics, Inc. sponsors a self-funded health plan that covered 601 participants in plan year 2025, down 33% 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
- 601 · prior year 902
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Adac Automotive Employee Benefits Plan, plan 501 (601 participants)
- Broker compensation
- $113K 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 |
|---|---|---|---|---|
| Delta Dental of Michigan | Dental | 1,249 | $366K | $457 |
| Continental American Insurance Company | Life, Long-term disability | 837 | $299K | $32K |
| Reliastar Life Insurance Company | Accident, Critical Illness, Hospital Ind | 498 | $165K | $30K |
| Blue Cross Blue Shield of Michigan | Vision, PPO | 1,078 | $43K | $50K |
| Pine Rest | Employee Assistance Program | 851 | $17K | — |
| Four Ever Life Ins Co. | Business Travel Accident | 30 | $2K | $277 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 601 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
- Adac Plastics, Inc.
- Sponsor EIN
- 38-2085222
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 38-2085222 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Adac Plastics, Inc. Retirement Plan
- Type
- 401(k) plan
- Participants
- 974
About this data
Source: Adac Plastics, Inc.'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 Adac Plastics, Inc..


