American Eagle Delaware Holding Company LLC
Overview
American Eagle Delaware Holding Company LLC sponsors a self-funded health plan that covered 571 participants in plan year 2024. The plan year starts in October. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 571
- Plan year
- Begins October 1 · next renewal October 2027
- Health plans filed
- American Eagle Delaware Holding Company LLC Employee Benefits Plan, plan 501 (571 participants)
- Broker compensation
- $27K 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 |
|---|---|---|---|---|
| The Lincoln National Life Insurance Company | Dental, Long-term disability, Life, Accident, Critical Illness, Hospital Indemnity | 462 | $170K | $24K |
| Renaissance Life & Health Insurance Company of America | Vision, Life | 457 | $25K | $4K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 571 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 2024
- Plan sponsor
- American Eagle Delaware Holding Company LLC
- Sponsor EIN
- 83-1164248
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 83-1164248 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: American Eagle Delaware Holding Company 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 American Eagle Delaware Holding Company LLC.