G-3 Chickadee Purchaser, LLC
Overview
G-3 Chickadee Purchaser, LLC sponsors a self-funded health plan that covered 644 participants in plan year 2025. The plan year starts in November. 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
- 644
- Plan year
- Begins November 1 · next renewal November 2027
- Health plans filed
- G-3 Chickadee Purchaser, LLC Health & Welfare Plan, plan 501 (644 participants)
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Metropolitan Life Insurance Company | Life | 991 | $61K | — |
| Carelon Behavioral Health | Employee Assistance Program | 650 | $2K | — |
| MetLife Legal Plans | Legal | 27 | — | — |
| Continental American Insurance Company | Accident, Critical Illness, Hospital Ind | 644 | — | — |
| Eyemed Vision Care | Vision | 1,372 | — | — |
| Unum Life Insurance Company of America | Long-term disability | 644 | — | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 644 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
- G-3 Chickadee Purchaser, LLC
- Sponsor EIN
- 33-3089238
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 33-3089238 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: G-3 Chickadee Purchaser, 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 G-3 Chickadee Purchaser, LLC.