Clark Beverage Group Holdings, Inc.
Overview
Clark Beverage Group Holdings, Inc. sponsors a self-funded health plan that covered 865 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
- 865 · prior year 852
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- C.c. Clark, Inc. Health and Welfare Benefit Plan, plan 505 (865 participants)
- Stop-loss carrier
- Berkley Life and Health Insurance Co.
- Broker compensation
- $206K 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 |
|---|---|---|---|---|
| Hartford Life and Accident | Life, Short-term disability, Long-term disability | 1,144 | $981K | $166K |
| Delta Dental of Kentucky | Dental | 1,448 | $310K | $33K |
| Berkley Life and Health Insurance Co. | Stop-loss | 871 | $190K | — |
| Fidelity Security Life | Vision | 1,320 | $74K | $7K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 865 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
- Clark Beverage Group Holdings, Inc.
- Sponsor EIN
- 64-0315032
- Plan number
- 505
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 64-0315032 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- C. C. Clark, Inc. 401(k) Plan
- Type
- 401(k) plan
- Participants
- 1,697
About this data
Source: Clark Beverage Group Holdings, 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 Clark Beverage Group Holdings, Inc..