Fielmann USA

Green Bay, WI RetailNAICS 446130

Self-funded health planPlan year 2025Renews January
1,501ParticipantsFirst year on file
$3.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#9 of 23Retail in WIBy participants

Overview

Fielmann USA sponsors a self-funded health plan that covered 1,501 participants in plan year 2025. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, short-term disability, prepaid legal, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,501
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Fielmann USA Employee Welfare Benefit Plan, plan 501 (1,501 participants)
Broker compensation
$90K across insured contracts
MedicalLife insuranceDentalShort-term disabilityPrepaid legalLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
United of Omaha Life Insurance CompanyLife, Long-term disability1,501$606K$90K
Metropolitian General Insurance CompanyLegal48$7K$718

Pharmacy benefit estimate

StreamRX estimate for a plan this size. Not based on this plan's claims.

$3.6M/ year

Estimated prescription spend: 1,501 participants × $2,371 national average per member. Usually higher once dependents are counted.

$93K–$228K/ year

Typical savings opportunity found in independent reviews of plans this size.

Brands with a generic available$27K–$68K
Lower-cost therapeutic alternatives$40K–$83K
Generic pricing vs. actual cost$17K–$51K
PBM contract terms$9K–$27K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning January 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
Fielmann USA
Sponsor EIN
88-3858412
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 88-3858412 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Fielmann USA 401(k) Plan
Type
401(k) plan
Participants
1,548

About this data

Source: Fielmann USA'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 Fielmann USA.

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