Harmons Employee Welfare Benefit Plan TR
Overview
Harmons Employee Welfare Benefit Plan TR sponsors a self-funded health plan that covered 3,714 participants in plan year 2025, about the same as 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
- 3,714 · prior year 3,671
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Harmons Employee Welfare Benefit Trust, plan 501 (3,714 participants)
- Stop-loss carrier
- Berkley Life & Health Insurance Company
- Broker compensation
- $142K 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 |
|---|---|---|---|---|
| Unum Life Insurance Company of America | Life, Short-term disability, Long-term disability | 3,119 | $884K | $118K |
| Berkley Life & Health Insurance Company | Stop-loss | 1,363 | $519K | — |
| Town & Country Life Insurance Company | Vision | 1,003 | $83K | $3K |
| Unum Insurance Company | Hospital Indemnity, Accidental Death | 227 | $12K | $364 |
| Educators Mutual Plans Life, Accident and Health, Inc. | Dental | 2,435 | — | $19K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 3,714 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
- Harmons Employee Welfare Benefit Plan TR
- Sponsor EIN
- 87-0230875
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 87-0230875 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Harmon City, Inc. 401(k) Retirement Savings Plan
- Type
- 401(k) plan
- Participants
- 7,069
About this data
Source: Harmons Employee Welfare Benefit Plan TR'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 Harmons Employee Welfare Benefit Plan TR.