DS Admiral Bidco LLC
Overview
DS Admiral Bidco LLC sponsors a self-funded health plan that covered 793 participants in plan year 2025, down 8% from 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
- 793 · prior year 859
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Taxwell Health & Welfare Plan, plan 501 (793 participants)
- Broker compensation
- $171K 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 |
|---|---|---|---|---|
| Life Insurance Company of North America | Life, Short-term disability, Long-term disability | 751 | $506K | $60K |
| Metropolitan Life Insurance Company | Dental | 1,239 | $478K | $58K |
| Reliance Standard Life Insurance Company | Accident, Critical Illness, Hospital | 280 | $155K | $41K |
| Eyemed Vision Care on Behalf of the Fidelity Security Life Ins Co. | Vision | 1,233 | $88K | $13K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 793 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
- DS Admiral Bidco LLC
- Sponsor EIN
- 86-2013312
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 86-2013312 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Taxwell 401(k) Plan
- Type
- 401(k) plan
- Participants
- 1,263
About this data
Source: DS Admiral Bidco 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 DS Admiral Bidco LLC.