Chalk Mountain Services of Texas, LLC
Overview
Chalk Mountain Services of Texas, LLC sponsors a self-funded health plan that covered 762 participants in plan year 2024. 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
- 762
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Chalk Mountain Services of Texas Health and Welfare Plan, plan 501 (762 participants)
- Broker compensation
- $175K 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 |
|---|---|---|---|---|
| Sun Life Assurance Company of Canada | Dental, Vision, Life, Short-term disability, Long-term disability | 711 | $1.2M | $103K |
| Standard Insurance Company | Accident, Critical Illness, Hospital | 444 | $355K | $72K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 762 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
- Chalk Mountain Services of Texas, LLC
- Sponsor EIN
- 20-5470208
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 20-5470208 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Chalk Mountain Services of Texas, LLC 401(k) Plan
- Type
- 401(k) plan
- Participants
- 793
About this data
Source: Chalk Mountain Services of Texas, LLC'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 Chalk Mountain Services of Texas, LLC.