Adac Plastics, Inc.

Grand Rapids, MI ManufacturingNAICS 326100

Self-funded health planPlan year 2025Renews January
601Participants-33% vs. prior year
$1.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#124 of 138Manufacturing in MIBy participants

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
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Delta Dental of MichiganDental1,249$366K$457
Continental American Insurance CompanyLife, Long-term disability837$299K$32K
Reliastar Life Insurance CompanyAccident, Critical Illness, Hospital Ind498$165K$30K
Blue Cross Blue Shield of MichiganVision, PPO1,078$43K$50K
Pine RestEmployee Assistance Program851$17K—
Four Ever Life Ins Co.Business Travel Accident30$2K$277

Pharmacy benefit estimate

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

$1.4M/ year

Estimated prescription spend: 601 participants × $2,371 national average per member. Usually higher once dependents are counted.

$37K–$91K/ year

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

Brands with a generic available$11K–$27K
Lower-cost therapeutic alternatives$16K–$33K
Generic pricing vs. actual cost$7K–$21K
PBM contract terms$4K–$11K
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
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..

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