Five Star Food Service, Inc.
Overview
Five Star Food Service, Inc. sponsors a self-funded health plan that covered 2,779 participants in plan year 2024. The plan year starts in April. 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
- 2,779
- Plan year
- Begins April 1 · next renewal April 2027
- Health plans filed
- Five Star Food Service Group Medical Plan, plan 501 (2,779 participants)
- Stop-loss carrier
- HM Life Insurance Company
- Broker compensation
- $594K 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 |
|---|---|---|---|---|
| HM Life Insurance Company | Stop-loss | 1,275 | $1.9M | $97K |
| Life Insurance Company of North America | Short-term disability, Long-term disability, Life, Basic AD&D, Voluntary AD&D | 1,214 | $811K | $117K |
| Cigna Health and Life Insurance Company and Affiliates | Dental, Vision | 1,237 | $730K | $75K |
| American Heritage Life Insurance Company | Accident, Critical Illness, Hospital Ind | 1,450 | $494K | $300K |
| Globe Life and Accident Insurance Company | Medical, Short-term disability | 55 | $35K | $5K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 2,779 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
- Five Star Food Service, Inc.
- Sponsor EIN
- 58-2225899
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 58-2225899 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Five Star Food Service, Inc. 401(k) Employees' Savings Plan
- Type
- 401(k) plan
- Participants
- 2,246
About this data
Source: Five Star Food Service, Inc.'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 Five Star Food Service, Inc..