Colony Tire Corporation

Edenton, NC RetailNAICS 441300

Self-funded health planPlan year 2024Renews July
633ParticipantsFirst year on file
$1.5MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#23 of 25Retail in NCBy participants

Overview

Colony Tire Corporation sponsors a self-funded health plan that covered 633 participants in plan year 2024. The plan year starts in July. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
633
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
Colony Tire Corporation Employee Health Plan, plan 502 (633 participants)
Stop-loss carrier
Tokyo Marine HCC
Broker compensation
$17K across insured contracts
MedicalLife insuranceDentalVisionShort-term disability

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Tokyo Marine HCCStop-loss621$1.1M—
Metropolitan Life Insurance CompanyDental, Vision, Life1,829$459K$17K

Pharmacy benefit estimate

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

$1.5M/ year

Estimated prescription spend: 633 participants × $2,371 national average per member. Usually higher once dependents are counted.

$39K–$96K/ year

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

Brands with a generic available$11K–$29K
Lower-cost therapeutic alternatives$17K–$35K
Generic pricing vs. actual cost$7K–$22K
PBM contract terms$4K–$11K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning July 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Colony Tire Corporation
Sponsor EIN
56-2167232
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 56-2167232 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Colony Tire Corporation 401(k) Plan
Type
401(k) plan
Participants
1,132

About this data

Source: Colony Tire Corporation'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 Colony Tire Corporation.

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