BOB Evans Restaurants, LLC
Overview
BOB Evans Restaurants, LLC sponsors a self-funded health plan that covered 15,619 participants in plan year 2025, down 2% 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
- 15,619 · prior year 16,006
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- BOB Evans Restaurants Health and Welfare Group Benefits Program, plan 501 (15,619 participants)
- Broker compensation
- $299K 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 |
|---|---|---|---|---|
| Reliastar Life Insurance Company | Life, Short-term disability, Long-term disability | 2,157 | $1.2M | $95K |
| Delta Dental of Ohio | Dental | 2,868 | $844K | $42K |
| Metropolitan Life Insurance Company | Accident, Hospital, Critical Illness | 1,944 | $303K | $67K |
| Vision Service Plan | Vision | 1,779 | $221K | $11K |
| MetLife Legal Plans | Legal | 204 | $40K | $5K |
| Pan American Life Insurance Company | Life | 595 | $32K | $79K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 15,619 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
- BOB Evans Restaurants, LLC
- Sponsor EIN
- 81-5225177
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 81-5225177 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- BOB Evans Restaurants, LLC 401(k) Retirement Plan
- Type
- 401(k) plan
- Participants
- 15,749
About this data
Source: BOB Evans Restaurants, 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 BOB Evans Restaurants, LLC.