Boot Barn Incorporated
Overview
Boot Barn Incorporated sponsors a self-funded health plan that covered 3,382 participants in plan year 2024. The plan year starts in October. 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
- 3,382
- Plan year
- Begins October 1 · next renewal October 2027
- Health plans filed
- Boot Barn Incorporated Employee Benefit Plan, plan 501 (3,382 participants)
- Broker compensation
- $124K 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 |
|---|---|---|---|---|
| Reliance Standard Life Insurance Company | Long-term disability, Short-term disability, Hospital, Accidental Death & Dismemberment, Critical Illness, Accident, Life | 2,907 | $726K | $110K |
| Eyemed Vision Care | Vision | 1,558 | $145K | $13K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 3,382 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
- Boot Barn Incorporated
- Sponsor EIN
- 26-1081729
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 26-1081729 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Boot Barn 401(k) Plan
- Type
- 401(k) plan
- Participants
- 13,219
About this data
Source: Boot Barn Incorporated'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 Boot Barn Incorporated.