Dorothy Lane Market
Overview
Dorothy Lane Market sponsors a self-funded health plan that covered 512 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
- 512 · prior year 505
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Dorothy Lane Market Inc. Employee Benefit Plan, plan 501 (512 participants)
- Broker compensation
- $29K 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 |
|---|---|---|---|---|
| United of Omaha Life Insurance Company | Life, Long-term disability | 512 | $109K | $19K |
| Superior Dental Care | Dental | 261 | $104K | $9K |
| Vision Service Plan | Vision | 253 | $51K | — |
| American Heritage Life Insurance Company | Critical Illness, Accident, Disability | 43 | $29K | $2K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 512 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
- Dorothy Lane Market
- Sponsor EIN
- 31-0561868
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 31-0561868 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Dorothy Lane Market, Inc. 401(k) Retirement Plan
- Type
- 401(k) plan
- Participants
- 779
About this data
Source: Dorothy Lane Market'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 Dorothy Lane Market.