Captain D's, LLC
Overview
Captain D's, LLC sponsors a self-funded health plan that covered 896 participants in plan year 2025, down 6% 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
- 896 · prior year 948
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Captain D's, LLC Welfare Benefits Plan, plan 511 (896 participants)
- Broker compensation
- $974 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 |
|---|---|---|---|---|
| The Lincoln National Life Insurance Company | Short-term disability, Long-term disability | 834 | $225K | $4K |
| UnitedHealthcare Insurance Company | Vision, Life | 835 | $163K | $-3K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 896 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
- Captain D's, LLC
- Sponsor EIN
- 52-2262786
- Plan number
- 511
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 52-2262786 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Captain D's, 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 Captain D's, LLC.


