Kohl's Department Stores, Inc.
Overview
Kohl's Department Stores, Inc. sponsors a self-funded health plan that covered 6,170 participants in plan year 2025, down 6% 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
- 6,170 · prior year 6,560
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Kohl's Texas Associate Accident Program, plan 512 (6,170 participants)
- Broker compensation
- $989K 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 |
|---|---|---|---|---|
| Kaiser Foundation Health Plan, Inc. (california) | Medical, Prescription drug, HMO | 422 | $5.8M | $120K |
| Securian Life Insurance Company | Life, Voluntary Accidental Death and Dismember | 25,848 | $3.9M | $479K |
| Blue Cross & Blue Shield of Wisconsin | Vision | 27,632 | $2.1M | $123K |
| Delta Dental of Wisconsin | Dental | 3,435 | $1.3M | $53K |
| UnitedHealthcare Insurance Company | Hospital Indemnity, Critical Illness and | 5,731 | $1.1M | $92K |
| Life Insurance Company of North America | Long-term disability | 2,760 | $1.0M | $92K |
| ComPsych | Employee Assistance Program | 104,379 | $551K | — |
| Metropolitan General Insurance Company | Legal | 1,222 | $277K | $30K |
| Federal Insurance Company | Business Travel Accident | 26,186 | — | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 6,170 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
- Kohl's Department Stores, Inc.
- Sponsor EIN
- 13-3357362
- Plan number
- 512
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 13-3357362 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Kohl's Inc. Savings Plan
- Type
- 401(k) plan
- Participants
- 66,634
About this data
Source: Kohl's Department Stores, 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 Kohl's Department Stores, Inc..