Ambulnz Health LLC
Overview
Ambulnz Health LLC sponsors a self-funded health plan that covered 720 participants in plan year 2025. 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
- 720 · prior year 2,327
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Ambulnz LLC Welfare Benefit Plan, plan 503 (720 participants)
- Stop-loss carrier
- Sun Life and Health Insurance Company
- Broker compensation
- $178K 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 |
|---|---|---|---|---|
| Sun Life and Health Insurance Company | Stop-loss | 763 | $2.0M | $116K |
| Cigna Health and Life Insurance Company | Dental | 835 | $374K | $26K |
| Metropolitan Life Insurance Company | Accident, Critical Illness | 615 | $115K | $11K |
| Ameritas Life Insurance Corp. of New York | Vision | 1,786 | $85K | $7K |
| Mutual of Omaha Insurance Company | Life, Long-term disability, Short-term disability | 1,489 | $44K | $8K |
| Companion Life Insurance Company | Life | 1,489 | $44K | $7K |
| Metropolitan General Insurance Company | Legal | 140 | $28K | $5K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 720 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
- Ambulnz Health LLC
- Sponsor EIN
- 47-4292804
- Plan number
- 503
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 47-4292804 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Ambulnz Health LLC'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 Ambulnz Health LLC.