Jockey International, Inc.
Overview
Jockey International, Inc. sponsors a self-funded health plan that covered 699 participants in plan year 2025, down 4% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 699 · prior year 729
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Jockey International, Inc. Group Health Plan, plan 509 (699 participants)
- 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 |
|---|---|---|---|---|
| Standard Insurance Company | Life, Long-term disability | 738 | $576K | $32K |
| Vision Service Plan | Vision | 424 | $92K | — |
| National Union Fire Ins. Co. of Pittsburgh, PA | Accidental Death & Dismemberment | 655 | $31K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 699 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
- Jockey International, Inc.
- Sponsor EIN
- 39-0224670
- Plan number
- 509
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 39-0224670 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Jockey International, Inc. Pension Plan
- Type
- Pension plan
- Participants
- 1,608
About this data
Source: Jockey International, 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 Jockey International, Inc..