Magnum ICC US, LLC
Overview
Magnum ICC US, LLC sponsors a self-funded health plan that covered 1,660 participants in plan year 2025. The plan year starts in October. 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
- 1,660
- Plan year
- Begins October 1 · next renewal October 2027
- Health plans filed
- The Magnum Ice Cream Company (tmicc) Health and Welfare Benefit Plan, plan 501 (1,660 participants)
- Broker compensation
- $7K 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 |
|---|---|---|---|---|
| Metropolitan Life Insurance Company | Life, Short-term disability, Long-term disability | 3,363 | $357K | $62 |
| Eyemed Vision Care on Behalf of Fidelity Security Life Insurance Co. | Vision | 1,765 | $30K | $2K |
| UnitedHealthcare Insurance Company | Accident, Critical Illness, Hospital | 154 | $22K | $4K |
| MetLife Legal Plans | Legal | 65 | $3K | $557 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,660 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
- Magnum ICC US, LLC
- Sponsor EIN
- 33-2842367
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 33-2842367 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Magnum ICC US, LLC'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 Magnum ICC US, LLC.