City Furniture
Overview
City Furniture sponsors a self-funded health plan that covered 2,418 participants in plan year 2024. The plan year starts in November. 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
- 2,418
- Plan year
- Begins November 1 · next renewal November 2027
- Health plans filed
- City Furniture, Inc. Group Life, Disability Income, Dental and Medical Plan, plan 501 (2,418 participants)
- Stop-loss carrier
- Sun Life Assurance Company of Canada
- Broker compensation
- $310K 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 |
|---|---|---|---|---|
| Reliance Standard Life Insurance Company | Life, Short-term disability, Long-term disability | 2,286 | $1.2M | — |
| Sun Life Assurance Company of Canada | Stop-loss | 1,172 | $877K | $53K |
| Unitedhealth Care | Dental | 2,178 | $795K | — |
| UnitedHealthcare Insurance Company | Accident, Critial Illness, Hospital Inde | 495 | $435K | $223K |
| UnitedHealthcare | Vision | 1,078 | $93K | $9K |
| Corporate Health & Wellness | Tele-Medicine | 1,193 | $90K | — |
| Hartford Life and Accident | Accident, Critical Illness, Hospital Ind | 607 | $36K | $24K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 2,418 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
- City Furniture
- Sponsor EIN
- 59-1621198
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 59-1621198 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: City Furniture'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 City Furniture.