Jack Ohio Finance LLC
Overview
Jack Ohio Finance LLC sponsors a self-funded health plan that covered 1,388 participants in plan year 2025, up 27% from 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
- 1,388 · prior year 1,091
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Jack Entertainment Health Plan 2, plan 501 (1,388 participants)
- Broker compensation
- $62K 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 |
|---|---|---|---|---|
| Lincoln National Life Insurance Company | Life, Long-term disability, Short-term disability | 991 | $905K | $26K |
| Hartford Life and Accident | Accident, Critical Illness | 467 | $174K | $29K |
| National Vision Administrators (NGL) | Vision | 804 | $59K | $6K |
| Ulliance, Inc. | Employee Assistance Program | 1,392 | $25K | — |
| Provident Life and Accident Insurance Company | Life | 46 | $12K | $577 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,388 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
- Jack Ohio Finance LLC
- Sponsor EIN
- 45-2917350
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 45-2917350 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Jack Entertainment Retirement Plan
- Type
- 401(k) plan
- Participants
- 2,363
About this data
Source: Jack Ohio Finance LLC'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 Jack Ohio Finance LLC.