Fujitsu North America, Inc.

Sunnyvale, CA Wholesale tradeNAICS 423600

Self-funded health planPlan year 2025Renews January
1,779Participants-8% vs. prior year
$4.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#3 of 18Wholesale trade in CABy participants

Overview

Fujitsu North America, Inc. sponsors a self-funded health plan that covered 1,779 participants in plan year 2025, down 8% from 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
1,779 · prior year 1,941
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Fujitsu Group Non-Health Benefit Plan, plan 501 (1,779 participants); Fujitsu Group Welfare Benefit Plan, plan 502 (1,779 participants)
Stop-loss carrier
HCC Life Insurance Company
Broker compensation
$451K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilitySeveranceDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Standard Insurance CompanyLife, Long-term disability, Short-term disability1,797$2.2M$273K
HCC Life Insurance CompanyStop-loss1,371$1.2M$98K
Kaiser Foundation Health Plan, Inc.Medical, Prescription drug, HMO62$651K$535
Reliastar Life Insurance CompanyAccident, Critical Illness1,084$265K$58K
Kaiser Foundation Health Plan Inc.Medical, Prescription drug, HMO30$235K—
Life Insurance Company of North AmericaLife, Accidental Death and Dismemberment1,645$213K$21K
Metropolitan General Insurance CompanyLegal536$93K$70

Pharmacy benefit estimate

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

$4.2M/ year

Estimated prescription spend: 1,779 participants × $2,371 national average per member. Usually higher once dependents are counted.

$110K–$270K/ year

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

Brands with a generic available$32K–$80K
Lower-cost therapeutic alternatives$47K–$98K
Generic pricing vs. actual cost$20K–$61K
PBM contract terms$11K–$32K
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
Fujitsu North America, Inc.
Sponsor EIN
46-4314843
Plan numbers
501, 502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 46-4314843 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Fujitsu North America, 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 Fujitsu North America, Inc..

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