Foth & Van Dyke, LLC
Overview
Foth & Van Dyke, LLC sponsors a self-funded health plan that covered 676 participants in plan year 2025, up 4% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, prepaid legal, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 676 · prior year 649
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Foth & Van Dyke LLC Employee Health & Welfare Plan, plan 507 (676 participants)
- Broker compensation
- $51K 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 |
|---|---|---|---|---|
| Hartford Life and Accident | Life | 670 | $340K | $6K |
| Sun Life Assurance Company of Canada | Long-term disability | 528 | $176K | $13K |
| UnitedHealthcare Insurance Company | Accident, Critical Illness, Hospital | 348 | $100K | $20K |
| Metropolitan Life Insurance Company | Vision | 925 | $97K | $9K |
| Legalplans, USA | Legal | 96 | $22K | $2K |
| Federal Insurance Company | Business Travel Accident | 670 | $3K | $1K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 676 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
- Foth & Van Dyke, LLC
- Sponsor EIN
- 20-5814203
- Plan number
- 507
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 20-5814203 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- The Foth Companies, LLC 401(k) Retirement Savings Plan
- Type
- 401(k) plan
- Participants
- 895
About this data
Source: Foth & Van Dyke, LLC'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 Foth & Van Dyke, LLC.