Emmi Roth USA, Inc.
Overview
Emmi Roth USA, Inc. sponsors a self-funded health plan that covered 517 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
- 517 · prior year 517
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Emmi Roth USA, Inc. Employees Group Benefits Program, plan 501 (517 participants)
- Broker compensation
- $53K 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 Wisconsin | Dental | 282 | $310K | $26K |
| Hartford Life and Accident | Life, Long-term disability, Short-term disability | 584 | $214K | $22K |
| Eyemed | Vision | 660 | $25K | $3K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 517 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
- Emmi Roth USA, Inc.
- Sponsor EIN
- 39-1666423
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 39-1666423 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Emmi Roth USA 401(k) Plan
- Type
- 401(k) plan
- Participants
- 690
About this data
Source: Emmi Roth USA, 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 Emmi Roth USA, Inc..