Instrument Transformers, LLC
Overview
Instrument Transformers, LLC sponsors a self-funded health plan that covered 631 participants in plan year 2024. The plan year starts in October. Alongside medical, its benefits filing reports life insurance, dental, long-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 631
- Plan year
- Begins October 1 · next renewal October 2027
- Health plans filed
- Instrument Transformers, LLC Employee Welfare Benefits Plan, plan 510 (631 participants)
- Broker compensation
- $47K 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 |
|---|---|---|---|---|
| Aetna Health, Inc. | HMO | 602 | $6.0M | — |
| Sun Life Assurance Company of Canada | Life, Long-term disability | 553 | $269K | $47K |
| Aetna Life Insurance Company | Dental | 467 | $109K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 631 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
- Instrument Transformers, LLC
- Sponsor EIN
- 59-1582077
- Plan number
- 510
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 59-1582077 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- ITI 401(k) Plan
- Type
- 401(k) plan
- Participants
- 678
About this data
Source: Instrument Transformers, 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 Instrument Transformers, LLC.