Calgon Carbon Corporation
Overview
Calgon Carbon Corporation sponsors a self-funded health plan that covered 731 participants in plan year 2025, up 29% 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
- 731 · prior year 567
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Calgon Carbon Corporation Health & Welfare Benefits Plan, plan 502 (731 participants)
- Stop-loss carrier
- HM Life Insurance Company; HM Life Insurance Company
- Broker compensation
- $65K 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 |
|---|---|---|---|---|
| HM Life Insurance Company | Stop-loss | 488 | $1.3M | — |
| Reliance Standard Life Insurance Company | Long-term disability, AD&D, Life, Short-term disability | 1,124 | $605K | $40K |
| Metropolitan Life Insurance Company | Dental | 1,127 | $421K | $21K |
| Highmark Inc. | Vision | 1,132 | $91K | $4K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 731 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
- Calgon Carbon Corporation
- Sponsor EIN
- 25-0530110
- Plan number
- 502
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 25-0530110 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Calgon Carbon Corporation Thrift/savings Plan
- Type
- 401(k) plan
- Participants
- 1,108
About this data
Source: Calgon Carbon Corporation'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 Calgon Carbon Corporation.