Custom Fabricating & Repair, Inc.
Overview
Custom Fabricating & Repair, Inc. sponsors a self-funded health plan that covered 641 participants in plan year 2025, down 24% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, short-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 641 · prior year 840
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- CFR Fringe Benefit Plan, plan 501 (641 participants)
- Broker compensation
- $75K 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 |
|---|---|---|---|---|
| Assurity Life Insurance Company | Short-term disability | 749 | $246K | $49K |
| Delta Dental of Wisconsin | Dental | 264 | $194K | $19K |
| Illinois Mutual Life Insurance Co. | Life | 112 | $31K | $6K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 641 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
- Custom Fabricating & Repair, Inc.
- Sponsor EIN
- 39-1557927
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 39-1557927 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- CFR Retirement Savings Plan
- Type
- 401(k) plan
- Participants
- 568
About this data
Source: Custom Fabricating & Repair, 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 Custom Fabricating & Repair, Inc..