El Pollo Loco
Overview
El Pollo Loco sponsors a self-funded health plan that covered 528 participants in plan year 2024. The plan year starts in November. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 528
- Plan year
- Begins November 1 · next renewal November 2027
- Health plans filed
- El Pollo Loco Benefit Plan, plan 502 (528 participants)
- Broker compensation
- $4K 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 |
|---|---|---|---|---|
| Reliancestandard Life Insurance Company | Life, Long-term disability | 415 | $99K | — |
| Reliance Matrix | Vision | 347 | $52K | — |
| Cigna Health and Life Insurance Company and Affiliates | Dental, HMO | 150 | $28K | — |
| Blue Cross of California | Dental | 108 | $18K | $758 |
| Unum Life Insurance Company of America | Long Term Care | 44 | $13K | $2K |
| Transamerica Life Insurance Company | Accident, Cancer | 68 | $4K | $1K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 528 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
- El Pollo Loco
- Sponsor EIN
- 33-0377527
- Plan number
- 502
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 33-0377527 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- El Pollo Loco, Inc. 401(k) Plan
- Type
- 401(k) plan
- Participants
- 2,959
About this data
Source: El Pollo Loco'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 El Pollo Loco.