International SOS Assistance, Inc.
Overview
International SOS Assistance, Inc. sponsors a self-funded health plan that covered 1,773 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
- 1,773 · prior year 1,761
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- International SOS Benefit Plan, plan 501 (1,773 participants)
- Stop-loss carrier
- HCC Life Insurance Company
- Broker compensation
- $177K 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 |
|---|---|---|---|---|
| New York Life (life Insurance Company of North America) | Life, HMO, Accidental Death and Dismemberment, Short-term disability | 1,544 | $1.6M | $25K |
| Aetna Life Insurance Company | Medical, Prescription drug, Dental, Vision | 340 | $1.6M | $88K |
| HCC Life Insurance Company | Stop-loss | 1,099 | $1.2M | $58K |
| Delta Dental of Pennsylvania | Dental | 1,121 | $789K | — |
| Eyemed Vision Care | Vision | 1,193 | $121K | — |
| Ace Insurance Company | Accidental Death and Dismemberment | 36 | $4K | $706 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,773 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
- International SOS Assistance, Inc.
- Sponsor EIN
- 91-1501877
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 91-1501877 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- International SOS and the International SOS Group of Companies 401(k) Plan
- Type
- 401(k) plan
- Participants
- 1,313
About this data
Source: International SOS Assistance, 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 International SOS Assistance, Inc..