Edgewood Village Market, Inc.
Overview
Edgewood Village Market, Inc. sponsors a self-funded health plan that covered 525 participants in plan year 2025, down 7% from the prior year. The plan year starts in May. 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
- 525 · prior year 566
- Plan year
- Begins May 1 · next renewal May 2027
- Health plans filed
- Edgewood Village Market, Inc. Health & Welfare Plan, plan 501 (525 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 |
|---|---|---|---|---|
| Prudential Insurance Company of America | Life, Short-term disability, Long-term disability | 507 | $396K | $-15K |
| Cigna Health and Life Insurance Company and Affiliates | Dental | 367 | $196K | — |
| UnitedHealthcare Insurance Company | Short-term disability | 91 | $41K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 525 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
- Edgewood Village Market, Inc.
- Sponsor EIN
- 23-2387160
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 23-2387160 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Mccaffrey's Markets 401(k) Profit Sharing Plan
- Type
- 401(k) plan
- Participants
- 639
About this data
Source: Edgewood Village Market, 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 Edgewood Village Market, Inc..