Lippert Components Inc.
Overview
Lippert Components Inc. sponsors a self-funded health plan that covered 10,537 participants in plan year 2025, down 19% 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
- 10,537 · prior year 13,059
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Lippert Components Inc. Employee Benefits Plan, plan 501 (10,537 participants)
- Stop-loss carrier
- Sun Life Assurance of Canada
- Broker compensation
- $1.1M 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 |
|---|---|---|---|---|
| The Guardian Life Insurance Company of America | Life, Short-term disability, Long-term disability | 10,864 | $7.8M | $885K |
| Delta Dental of Indiana | Dental, Vision | 12,745 | $4.6M | $59K |
| Sun Life Assurance of Canada | Stop-loss | 6,721 | $2.1M | $143K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 10,537 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
- Lippert Components Inc.
- Sponsor EIN
- 13-3966839
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 13-3966839 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Lippert Components 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 Lippert Components Inc..