GlaxoSmithKline LLC
Overview
GlaxoSmithKline LLC sponsors a self-funded health plan that covered 5,294 participants in plan year 2025, up 21% from the prior year. The plan year starts in January. 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
- 5,294 · prior year 4,382
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- GlaxoSmithKline Retiree Medicare HRA Plan, plan 902 (5,294 participants); GlaxoSmithKline Flexible Compensation Plan, plan 901 (3,765 participants)
- Broker compensation
- $200K 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 | Accidental Death and Dismemberment, Life, Long-term disability | 23,977 | $16.6M | $200K |
| Eyemed Vision Care on Behalf of Fidelity Security Life Insurance Co. | Vision | 23,779 | $2.3M | — |
| Aetna Life Insurance Co. | Medical | 57 | $1.7M | — |
| Metropolitan Life Insurance Company | Dental | 2,755 | $1.2M | — |
| UnitedHealthcare Insurance Company | Medical | 27 | $274K | — |
| Ace American Insurance Company | Accidental Death and Dismemberment, Busi | 11,884 | $70K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 5,294 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
- GlaxoSmithKline LLC
- Sponsor EIN
- 23-1099050
- Plan numbers
- 902, 901
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 23-1099050 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- GlaxoSmithKline Cash Balance Pension Plan
- Type
- Pension plan
- Participants
- 35,701
About this data
Source: GlaxoSmithKline 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 GlaxoSmithKline LLC.