District Photo, Inc.
Overview
District Photo, Inc. sponsors a self-funded health plan that covered 673 participants in plan year 2024. The plan year starts in June. 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
- 673
- Plan year
- Begins June 1 · next renewal June 2027
- Health plans filed
- Group Insurance Plan, plan 501 (673 participants)
- Broker compensation
- $15K 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 Pennsylvania | Dental, PPO | 265 | $160K | $5K |
| Sun Life Assurance Company of Canada | Life, Long-term disability | 560 | $107K | $8K |
| Vision Service Plan | Vision | 286 | $47K | $2K |
| Alpha Dental Programs, Inc. | Dental, HMO | 81 | $28K | $848 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 673 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
- District Photo, Inc.
- Sponsor EIN
- 52-1191617
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 52-1191617 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- District Photo, Inc. 401(k) Plan
- Type
- 401(k) plan
- Participants
- 975
About this data
Source: District Photo, 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 District Photo, Inc..