Ambassador Enterprises, LLC

Fort Wayne, IN Professional servicesNAICS 541600

Self-funded health planPlan year 2024Renews January
3,056ParticipantsFirst year on file
$7.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#2 of 17Professional services in INBy participants

Overview

Ambassador Enterprises, LLC sponsors a self-funded health plan that covered 3,056 participants in plan year 2024. 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
3,056
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Ambassador Enterprises, LLC Health and Welfare Plan, plan 505 (3,056 participants)
Broker compensation
$197K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
United of Omaha Life Insurance CompanyLife, Short-term disability, Long-term disability1,543$1.4M$130K
The Lincoln National Life Insurance CompanyLife, Long-term disability685$222K$35K
Principal Life Insurance CompanyLife, Short-term disability, Long-term disability203$101K$14K
The Guardian Life Insurance Company of AmericaLife, Dental, Long-term disability61$47K$9K
Sun Life Assurance Company of CanadaShort-term disability, Life, Long-term disability118$15K$4K
UnitedHealthcare Insurance CompanyLife, Short-term disability, Long-term disability36$12K$2K
Advance Insurance Company of KansasLife56$4K—
Anthem Life Insurance CompanyLife, Long-term disability139$3K$1K

Pharmacy benefit estimate

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

$7.2M/ year

Estimated prescription spend: 3,056 participants × $2,371 national average per member. Usually higher once dependents are counted.

$188K–$464K/ year

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

Brands with a generic available$55K–$138K
Lower-cost therapeutic alternatives$80K–$168K
Generic pricing vs. actual cost$35K–$104K
PBM contract terms$18K–$54K
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 2024
Plan sponsor
Ambassador Enterprises, LLC
Sponsor EIN
20-5055193
Plan number
505
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 20-5055193 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Ambassador Enterprises, LLC's Form 5500 filing for plan year 2024 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 Ambassador Enterprises, LLC.

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