At Home Stores LLC
Overview
At Home Stores LLC sponsors a self-funded health plan that covered 6,977 participants in plan year 2025, down 10% 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
- 6,977 · prior year 7,728
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- At Home Stores LLC Employee Benefit Plan, plan 501 (6,977 participants)
- Broker compensation
- $275K 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 |
|---|---|---|---|---|
| Bluecross Blueshield of Texas | Dental | 2,481 | $849K | $107K |
| Standard Insurance Company | Accident, Critical Illness, Hospital Ind, Life, Long-term disability, Short-term disability | 5,799 | $718K | $105K |
| Reliastar Life Insurance Company | Accident, Critical Illness, Hospital Ind | 652 | $191K | $45K |
| Eyemed Vision Care on Behalf of Fidelity Security Life Insurance Co. | Vision | 1,497 | $181K | $15K |
| Delta Dental Insurance Company | Dental | 156 | $59K | $3K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 6,977 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
- At Home Stores LLC
- Sponsor EIN
- 76-0484961
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 76-0484961 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- At Home 401(k) Savings Plan
- Type
- 401(k) plan
- Participants
- 5,986
About this data
Source: At Home Stores 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 At Home Stores LLC.