Kapsch Trafficcom USA, Inc.

Duluth, GA ManufacturingNAICS 334500

Self-funded health planPlan year 2025Renews January
590Participants-2% vs. prior year
$1.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#70 of 82Manufacturing in GABy participants

Overview

Kapsch Trafficcom USA, Inc. sponsors a self-funded health plan that covered 590 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
590 · prior year 600
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Kapsch Trafficcom USA, Inc. Health and Welfare Benefit Program, plan 501 (590 participants)
Broker compensation
$109K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityOther welfare benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Life Insurance Company of North AmericaLong-term disability, Life, Short-term disability, Accidental Death & Dismemberment1,092$531K$58K
Cigna Health and Life Insurance Company and AffiliatesDental535$449K$23K
Cigna Health and Life Insurance CompanyAccident, Critical Illness308$97K$15K
Ameritas Life Insurance Corp.Vision1,174$72K$10K
Legal ResourcesLegal Insurance132$27K$2K

Pharmacy benefit estimate

StreamRX estimate for a plan this size. Not based on this plan's claims.

$1.4M/ year

Estimated prescription spend: 590 participants × $2,371 national average per member. Usually higher once dependents are counted.

$36K–$90K/ year

Typical savings opportunity found in independent reviews of plans this size.

Brands with a generic available$11K–$27K
Lower-cost therapeutic alternatives$16K–$32K
Generic pricing vs. actual cost$7K–$20K
PBM contract terms$3K–$10K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning January 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
Kapsch Trafficcom USA, Inc.
Sponsor EIN
16-1317836
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 16-1317836 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Kapsch Trafficcom USA, 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 Kapsch Trafficcom USA, Inc..

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