Fitness International, LLC

Irvine, CA Arts & recreationNAICS 713900

Self-funded health planPlan year 2024Renews June
2,477ParticipantsFirst year on file
$5.9MEst. pharmacy spend / yrParticipants × national avg.
Jun 2027Next renewalPlan year begins June 1
#2 of 10Arts & recreation in CABy participants

Overview

Fitness International, LLC sponsors a self-funded health plan that covered 2,477 participants in plan year 2024. The plan year starts in June. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
2,477
Plan year
Begins June 1 · next renewal June 2027
Health plans filed
Fitness International Health & Welfare Plan, plan 501 (2,477 participants)
Stop-loss carrier
Aetna Life Insurance Co.
MedicalLife insuranceDentalVisionLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Kaiser Foundation Health Plan Inc.Medical, HMO521$3.9M—
Aetna Life Insurance Co.Stop-loss1,729$1.8M—
Delta Dental of CaliforniaDental2,410$1.1M—
Metropolitan Life Insurance CompanyLife, Long-term disability702$319K—
Vision Service PlanVision1,715$149K—

Pharmacy benefit estimate

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

$5.9M/ year

Estimated prescription spend: 2,477 participants × $2,371 national average per member. Usually higher once dependents are counted.

$153K–$376K/ year

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

Brands with a generic available$45K–$112K
Lower-cost therapeutic alternatives$65K–$136K
Generic pricing vs. actual cost$28K–$85K
PBM contract terms$15K–$44K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning June 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Fitness International, LLC
Sponsor EIN
33-0774939
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 33-0774939 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Fitness International, LLC'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 Fitness International, LLC.

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