Crystal Cabinet Works Inc.
Overview
Crystal Cabinet Works Inc. sponsors a self-funded health plan that covered 552 participants in plan year 2024. The plan year starts in July. Alongside medical, its benefits filing reports life insurance, dental, long-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 552
- Plan year
- Begins July 1 · next renewal July 2027
- Health plans filed
- Crystal Cabinet Works Inc. Employee Welfare Benefit Plan, plan 504 (552 participants)
- Stop-loss carrier
- Medica Insurance Company
- Broker compensation
- $124K 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 |
|---|---|---|---|---|
| Medica Insurance Company | Medical, Stop-loss | 770 | $634K | $28K |
| United of Omaha Life Insurance Company | Life, Short-term disability, Long-term disability | 556 | $428K | $77K |
| Fidelity Security of Life Insurance Company | Vision | 452 | $20K | $2K |
| Ddmn ASO LLC | Dental | 704 | — | $18K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 552 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
- Crystal Cabinet Works Inc.
- Sponsor EIN
- 41-0828559
- Plan number
- 504
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 41-0828559 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Crystal Cabinet Works, Inc. Salary Savings Plan
- Type
- 401(k) plan
- Participants
- 709
About this data
Source: Crystal Cabinet Works Inc.'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 Crystal Cabinet Works Inc..