Belk Stores Services, LLC

Charlotte, NC RetailNAICS 452200

Self-funded health planPlan year 2025Renews January
15,193Participants-7% vs. prior year
$36.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#2 of 25Retail in NCBy participants

Overview

Belk Stores Services, LLC sponsors a self-funded health plan that covered 15,193 participants in plan year 2025, down 7% 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
15,193 · prior year 16,284
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Belk Stores Services, LLC Health & Welfare Plan, plan 522 (15,193 participants)
Broker compensation
$768K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilitySeveranceDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Delta Dental of North CarolinaDental7,860$2.8M—
Unum Life Insurance Company of AmericaLong-term disability, Life7,273$2.3M$108K
UnitedHealthcare Insurance CompanyAccident, Critical Illness, Hospital Ind2,504$1.0M$659K
Fidelity Security Life Insurance CompanyVision6,952$389K—
Hartford Fire Insurance CompanyBusiness Travel Accident13,508$5K$96

Pharmacy benefit estimate

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

$36.0M/ year

Estimated prescription spend: 15,193 participants × $2,371 national average per member. Usually higher once dependents are counted.

$937K–$2.3M/ year

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

Brands with a generic available$274K–$684K
Lower-cost therapeutic alternatives$400K–$836K
Generic pricing vs. actual cost$173K–$519K
PBM contract terms$90K–$270K
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
Belk Stores Services, LLC
Sponsor EIN
56-0616731
Plan number
522
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 56-0616731 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Belk 401k Savings Plan
Type
401(k) plan
Participants
21,400

About this data

Source: Belk Stores Services, 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 Belk Stores Services, LLC.

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