Delek US Holdings, Inc.
Overview
Delek US Holdings, Inc. sponsors a self-funded health plan that covered 4,036 participants in plan year 2025, about the same as the prior year. 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
- 4,036 · prior year 4,036
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Delek US Holdings, Inc. Welfare Benefit Plan, plan 501 (4,036 participants); Delek US Holdings, Inc. Flexible Benefit Plan, plan 502 (538 participants)
- Broker compensation
- $56K 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 |
|---|---|---|---|---|
| Delta Dental of Tennessee | Dental | 5,106 | $1.9M | — |
| Sun Life Assurance Company of Canada | Life | 1,922 | $1.7M | $34K |
| Unum Life Insurance Company of America | Short-term disability, Long-term disability | 2,647 | $1.0M | $20K |
| Vision Service Plan | Vision | 1,670 | $357K | — |
| Health Advocate Solutions, Inc. | Employee Assistance Program | 1,798 | $213K | — |
| Federal Insurance Company | Business Travel Accident | 2,647 | $30K | $917 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 4,036 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
- Delek US Holdings, Inc.
- Sponsor EIN
- 35-2581557
- Plan numbers
- 501, 502
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 35-2581557 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Delek US Holdings, 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 Delek US Holdings, Inc..