Indiana Grocery Group LLC
Overview
Indiana Grocery Group LLC sponsors a self-funded health plan that covered 612 participants in plan year 2024. The plan year starts in August. 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
- 612
- Plan year
- Begins August 1 · next renewal August 2027
- Health plans filed
- Indiana Grocery Group LLC Employee Benefits Plan, plan 501 (612 participants)
- Broker compensation
- $31K 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 |
|---|---|---|---|---|
| Reliance Standard Life Insurance Company | Life, Long-term disability, Accidental Death & Dismemberment, Short-term disability | 326 | $371K | $30K |
| Metropolitan Insurance Company | Dental | 744 | $276K | — |
| Vision Service Plan | Vision | 473 | $42K | — |
| Metropolitan General Insurance Company | Legal Plan | 41 | $9K | $1K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 612 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
- Indiana Grocery Group LLC
- Sponsor EIN
- 82-1621364
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 82-1621364 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Strack & Van TIL Retirement Plan
- Type
- 401(k) plan
- Participants
- 1,765
About this data
Source: Indiana Grocery Group LLC'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 Indiana Grocery Group LLC.