Customink LLC

Tysons, VA ManufacturingNAICS 315990

Self-funded health planPlan year 2025Renews January
699ParticipantsPrior year not comparable
$1.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#26 of 33Manufacturing in VABy participants

Overview

Customink LLC sponsors a self-funded health plan that covered 699 participants in plan year 2025. 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
699 · prior year 1,864
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Customink LLC Welfare Plan, plan 501 (699 participants)
Broker compensation
$31K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Reliance Standard Life Insurance CompanyLife, Long-term disability, Voluntary AD&D547$427K$29K
Vision Service PlanVision584$76K$2K

Pharmacy benefit estimate

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

$1.7M/ year

Estimated prescription spend: 699 participants × $2,371 national average per member. Usually higher once dependents are counted.

$43K–$106K/ year

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

Brands with a generic available$13K–$31K
Lower-cost therapeutic alternatives$18K–$38K
Generic pricing vs. actual cost$8K–$24K
PBM contract terms$4K–$12K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning January 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
Customink LLC
Sponsor EIN
54-1983207
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 54-1983207 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Customink, LLC 401(k) Savings Plan
Type
401(k) plan
Participants
1,510

About this data

Source: Customink LLC'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 Customink LLC.

Request a correction · Methodology