Citgo Petroleum Corporation
Overview
Citgo Petroleum Corporation sponsors a self-funded health plan that covered 4,343 participants in plan year 2025, about the same as the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 4,343 · prior year 4,320
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Citgo Petroleum Corporation Retiree Reimbursement Account Plan, plan 550 (4,343 participants); Citgo Petroleum Corporation Medical, Dental, Vision and Life Insurance Program for Salaried Employees, plan 515 (2,827 participants); Citgo Petroleum Corporation Medical, Dental, Vision and Life Insurance Program for Hourly Employees, plan 518 (1,577 participants)
- Broker compensation
- $128K 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 |
|---|---|---|---|---|
| Securian Life Insurance Company | Life, AD&D | 7,011 | $5.7M | $128K |
| Metropolitan Life Insurance Company | Dental, Long-term disability | 2,234 | $2.3M | — |
| United Healthcare Insurance Company | Vision | 2,250 | $1.1M | — |
| Life Insurance Company of North America | Accidental Death and Dismemberment | 3,727 | — | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 4,343 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
- Citgo Petroleum Corporation
- Sponsor EIN
- 73-1173881
- Plan numbers
- 550, 515, 518
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 73-1173881 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Citgo Petroleum Corporation Salaried Employees' Pension Plan
- Type
- Pension plan
- Participants
- 5,935
About this data
Source: Citgo Petroleum 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 Citgo Petroleum Corporation.