City Barbeque, LLC

Dublin, OH HospitalityNAICS 722513

Self-funded health planPlan year 2025Renews January
929Participants0% vs. prior year
$2.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#4 of 7Hospitality in OHBy participants

Overview

City Barbeque, LLC sponsors a self-funded health plan that covered 929 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, short-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
929 · prior year 929
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
City Barbeque, LLC Employee Benefit Plan, plan 501 (929 participants)
Stop-loss carrier
Tokio Marine
Broker compensation
$56K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilitySeveranceOther welfare benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Tokio MarineStop-loss885$680K—
HCC Life Insurance Company—401$566K$34K
Unum Life Insurance Company of AmericaShort-term disability, Life, Long-term disability885$316K$22K
Delta Dental of OhioDental694$220K—
United Healthcare Insurance CompanyMedical885$45K—

Pharmacy benefit estimate

StreamRX estimate for a plan this size. Not based on this plan's claims.

$2.2M/ year

Estimated prescription spend: 929 participants × $2,371 national average per member. Usually higher once dependents are counted.

$57K–$141K/ year

Typical savings opportunity found in independent reviews of plans this size.

Brands with a generic available$17K–$42K
Lower-cost therapeutic alternatives$24K–$51K
Generic pricing vs. actual cost$11K–$32K
PBM contract terms$6K–$17K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning January 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
City Barbeque, LLC
Sponsor EIN
31-1657386
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 31-1657386 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
City Barbeque 401k Plan
Type
401(k) plan
Participants
1,504

About this data

Source: City Barbeque, 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 City Barbeque, LLC.

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