Goodwill Industries of Fort Worth, Inc.
Overview
Goodwill Industries of Fort Worth, Inc. sponsors a self-funded health plan that covered 689 participants in plan year 2025, down 2% 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
- 689 · prior year 706
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Goodwill Industries of Fort Worth, Inc. DBA Goodwill North Central Texas Health and Welfare Plan, plan 510 (689 participants)
- Stop-loss carrier
- Sun Life Assurance Company of Canada
- Broker compensation
- $103K 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 |
|---|---|---|---|---|
| Sun Life Assurance Company of Canada | Dental, Vision, Life, Short-term disability, Long-term disability, PPO, Stop-loss | 731 | $936K | $99K |
| Tokio Marine HCC | Transplant | 255 | $29K | $4K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 689 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
- Goodwill Industries of Fort Worth, Inc.
- Sponsor EIN
- 75-0868393
- Plan number
- 510
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 75-0868393 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Goodwill Industries of Fort Worth 401(k) Plan
- Type
- 401(k) plan
- Participants
- 575
About this data
Source: Goodwill Industries of Fort Worth, 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 Goodwill Industries of Fort Worth, Inc..