Ivy Hospitality LLC
Overview
Ivy Hospitality LLC sponsors a self-funded health plan that covered 642 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
- 642
- Plan year
- Begins August 1 · next renewal August 2027
- Health plans filed
- Ivy Hospitality Benefit Plan, plan 501 (642 participants)
- Stop-loss carrier
- Nationwide Life Insurance Company
- Broker compensation
- $32K 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 |
|---|---|---|---|---|
| Nationwide Life Insurance Company | Stop-loss | 232 | $455K | — |
| Fidelity Security Life Insurance Company | Vision | 328 | $18K | $2K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 642 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
- Ivy Hospitality LLC
- Sponsor EIN
- 93-4891022
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 93-4891022 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Ivy Hospitality LLC 401(k) Plan
- Type
- 401(k) plan
- Participants
- 802
About this data
Source: Ivy Hospitality 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 Ivy Hospitality LLC.