Chedraui USA, Inc.
Overview
Chedraui USA, Inc. sponsors a self-funded health plan that covered 6,425 participants in plan year 2025, down 3% 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
- 6,425 · prior year 6,602
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Chedraui USA, Inc. Texas Injury Benefit Plan, plan 512 (6,425 participants)
- Broker compensation
- $373K 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 |
|---|---|---|---|---|
| Kaiser Foundation Health Plan, Inc. | Medical, Prescription drug, HMO | 406 | $2.1M | — |
| Unum Life Insurance Company of America | Life, Short-term disability, Long-term disability | 5,882 | $1.6M | $108K |
| Health Net | Medical, Prescription drug, HMO | 140 | $1.3M | $64K |
| Unum Insurance Company | Critical Illness, Accident, Hospital | 1,348 | $1.0M | $167K |
| Blue Cross of California | Medical, Prescription drug, HMO, PPO | 43 | $667K | — |
| Provident Life and Accident Insurance Company | Life | 1,271 | $454K | $34K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 6,425 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
- Chedraui USA, Inc.
- Sponsor EIN
- 95-4517472
- Plan number
- 512
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 95-4517472 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Bodega Latina 401(k) Retirement and Savings Plan
- Type
- 401(k) plan
- Participants
- 9,227
About this data
Source: Chedraui USA, 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 Chedraui USA, Inc..