Grocery Delivery E-Services USA, Inc.

New York, NY RetailNAICS 454110

Self-funded health planPlan year 2025Renews January
8,848Participants-17% vs. prior year
$21.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#6 of 27Retail in NYBy participants

Overview

Grocery Delivery E-Services USA, Inc. sponsors a self-funded health plan that covered 8,848 participants in plan year 2025, down 17% 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
8,848 · prior year 10,636
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Hellofresh Group Health and Welfare Plan, plan 501 (8,848 participants)
Broker compensation
$568K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
First Unum Life Insurance CompanyLife, Short-term disability, Long-term disability7,247$3.5M$441K
Eyemed Vision Care on Behalf of Fidelity Security Life Ins Co. of NYVision7,115$336K—
Provident Life and Casualty Insurance CompanyHospital Indemnity, Accident, Critical Illness897$328K$127K

Pharmacy benefit estimate

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

$21.0M/ year

Estimated prescription spend: 8,848 participants × $2,371 national average per member. Usually higher once dependents are counted.

$545K–$1.3M/ year

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

Brands with a generic available$159K–$399K
Lower-cost therapeutic alternatives$233K–$487K
Generic pricing vs. actual cost$101K–$302K
PBM contract terms$52K–$157K
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
Grocery Delivery E-Services USA, Inc.
Sponsor EIN
45-5349819
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 45-5349819 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Hellofresh 401(k) Retirement Savings Plan
Type
401(k) plan
Participants
9,451

About this data

Source: Grocery Delivery E-Services USA, 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 Grocery Delivery E-Services USA, Inc..

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