Bloom Insurance Agency, LLC

Bloomington, IN Professional servicesNAICS 541800

Self-funded health planPlan year 2025Renews April
832Participants-4% vs. prior year
$2.0MEst. pharmacy spend / yrParticipants × national avg.
Apr 2027Next renewalPlan year begins April 1
#10 of 17Professional services in INBy participants

Overview

Bloom Insurance Agency, LLC sponsors a self-funded health plan that covered 832 participants in plan year 2025, down 4% from the prior year. The plan year starts in April. 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
832 · prior year 869
Plan year
Begins April 1 · next renewal April 2027
Health plans filed
Bloom Insurance Agency LLC Welfare Benefit Plan, plan 501 (832 participants)
Broker compensation
$9K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Unum Life Insurance Company of AmericaShort-term disability, Life, Long-term disability674$249K$9K
Fidelity Security Life Insurance CompanyVision581$39K—

Pharmacy benefit estimate

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

$2.0M/ year

Estimated prescription spend: 832 participants × $2,371 national average per member. Usually higher once dependents are counted.

$51K–$126K/ year

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

Brands with a generic available$15K–$37K
Lower-cost therapeutic alternatives$22K–$46K
Generic pricing vs. actual cost$9K–$28K
PBM contract terms$5K–$15K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning April 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
Bloom Insurance Agency, LLC
Sponsor EIN
26-0640936
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 26-0640936 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Bloom Insurance Agency, LLC Retirement Plan
Type
401(k) plan
Participants
1,263

About this data

Source: Bloom Insurance Agency, 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 Bloom Insurance Agency, LLC.

Request a correction · Methodology