Clubessential, LLC
Overview
Clubessential, LLC sponsors a self-funded health plan that covered 540 participants in plan year 2024. The plan year starts in August. 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
- 540
- Plan year
- Begins August 1 · next renewal August 2027
- Health plans filed
- Clubessential Health and Welfare Plan, plan 501 (540 participants)
- Broker compensation
- $77K 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 |
|---|---|---|---|---|
| Reliastar Life Insurance Company | Employee Assistance Program, Life, Short-term disability, Long-term disability | 810 | $363K | $60K |
| Delta Dental of Ohio | Dental | 861 | $265K | $14K |
| Fidelity Security Life Insurance Company | Vision | 760 | $43K | $4K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 540 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
- Clubessential, LLC
- Sponsor EIN
- 42-1556470
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 42-1556470 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Clubessential, LLC'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 Clubessential, LLC.