Chicanos POR La Causa, Inc.
Overview
Chicanos POR La Causa, Inc. sponsors a self-funded health plan that covered 1,943 participants in plan year 2024. The plan year starts in July. 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
- 1,943
- Plan year
- Begins July 1 · next renewal July 2027
- Health plans filed
- Chicanos POR La Causa, Inc. Employee Benefits Plan, plan 501 (1,943 participants)
- Broker compensation
- $297K 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 |
|---|---|---|---|---|
| UnitedHealthcare Insurance Company | Life, Short-term disability, Long-term disability | 3,766 | $2.0M | $172K |
| Delta Dental of Arizona | Dental | 2,105 | $847K | $91K |
| Unum Insurance Company | Critical Illness, Accident, Hospital Indemnity | 231 | $193K | $26K |
| Eyemed Vision Care on Behalf of Fidelity Security Life Insurance Co. | Vision | 2,046 | $139K | $8K |
| Curalinc, LLC D.b.a. Curalinc Healthcare | Employee Assistance Program | 1,838 | $29K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,943 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
- Chicanos POR La Causa, Inc.
- Sponsor EIN
- 86-0227210
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 86-0227210 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Chicanos POR La Causa, Inc. 401(k) Plan
- Type
- 401(k) plan
- Participants
- 2,513
About this data
Source: Chicanos POR La Causa, Inc.'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 Chicanos POR La Causa, Inc..