Lilly Enterprises, Inc. DBA McDonald's

Athens, TX HospitalityNAICS 722513

Self-funded health planPlan year 2025Renews January
967Participants-9% vs. prior year
$2.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#23 of 60Hospitality in TXBy participants

Overview

Lilly Enterprises, Inc. DBA McDonald's sponsors a self-funded health plan that covered 967 participants in plan year 2025, down 9% 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
967 · prior year 1,058
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Lilly Enterprises, Inc. DBA McDonald's Accident Protection Plan, plan 501 (967 participants); Lilly Enterprises, Inc. Wrap Plan, plan 502 (887 participants)
Broker compensation
$20K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Reliance MatrixDental, Vision250$75K$11K
Reliance Standard Life Insurance CompanyLife887$33K$9K

Pharmacy benefit estimate

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

$2.3M/ year

Estimated prescription spend: 967 participants × $2,371 national average per member. Usually higher once dependents are counted.

$60K–$147K/ year

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

Brands with a generic available$17K–$44K
Lower-cost therapeutic alternatives$25K–$53K
Generic pricing vs. actual cost$11K–$33K
PBM contract terms$6K–$17K
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
Lilly Enterprises, Inc. DBA McDonald's
Sponsor EIN
75-2700345
Plan numbers
501, 502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 75-2700345 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Lilly Enterprises, Inc. DBA McDonald's'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 Lilly Enterprises, Inc. DBA McDonald's.

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