Harlan Foods, Inc.
Overview
Harlan Foods, Inc. sponsors a self-funded health plan that covered 1,105 participants in plan year 2024. The plan year starts in October. 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
- 1,105
- Plan year
- Begins October 1 · next renewal October 2027
- Health plans filed
- Harlan Foods, Inc. Master Health & Welfare Benefits Plan, plan 501 (1,105 participants)
- Stop-loss carrier
- Granular Insurance Company
- Broker compensation
- $504K 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 |
|---|---|---|---|---|
| Granular Insurance Company | Stop-loss | 451 | $1.2M | $251K |
| United of Omaha Life Insurance Company | Voluntary Life and AD&D, Voluntary Short Term Disability, Long-term disability, Life, Short-term disability | 984 | $654K | $161K |
| Metropolitan Life Insurance Company | Dental, Vision | 815 | $366K | $53K |
| Bankers Fidelity Life Insurance Company | Accident, Hospital Indemnity, Critical I | 305 | $172K | $38K |
| Metropolitan General Insurance Company | Legal | 37 | $9K | $1K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,105 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 2024
- Plan sponsor
- Harlan Foods, Inc.
- Sponsor EIN
- 35-2096733
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 35-2096733 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Harlan Foods, Inc.'s Form 5500 filing for plan year 2024 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 Harlan Foods, Inc..


