Boscov's, Inc.
Overview
Boscov's, Inc. sponsors a self-funded health plan that covered 4,601 participants in plan year 2025, up 15% 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
- 4,601 · prior year 3,987
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Boscov's Health and Welfare Plan, plan 501 (4,601 participants)
- Broker compensation
- $39K 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 |
|---|---|---|---|---|
| Guardian | Life, Short-term disability, Long-term disability | 4,066 | $831K | $35K |
| Delta Dental | Dental | 3,467 | $773K | — |
| Vision Benefits of America | Vision | 2,064 | $126K | — |
| Reliancestandard Life Insurance Company | Long-term disability | 100 | $40K | $4K |
| Federal Insurance Company | Accidental Death & Dismemberment | 192 | — | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 4,601 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
- Boscov's, Inc.
- Sponsor EIN
- 23-1571589
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 23-1571589 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Boscov's 401(k) Defined Contribution Plan
- Type
- 401(k) plan
- Participants
- 7,505
About this data
Source: Boscov's, Inc.'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 Boscov's, Inc..