Mathis Bros Oklahoma City LLC

Oklahoma City, OK RetailNAICS 449110

Self-funded health planPlan year 2025Renews January
940Participants-8% vs. prior year
$2.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#3 of 12Retail in OKBy participants

Overview

Mathis Bros Oklahoma City LLC sponsors a self-funded health plan that covered 940 participants in plan year 2025, down 8% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, short-term disability, long-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
940 · prior year 1,023
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Mathis Brothers Employee Benefits Plan, plan 503 (940 participants)
Stop-loss carrier
Symetra Life Insurance
Broker compensation
$313K across insured contracts
MedicalLife insuranceDentalShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Symetra Life InsuranceStop-loss890$887K$45K
Lincoln National Life Insurance Company - CoreLife, Short-term disability, Long-term disability1,670$579K$154K
Lincoln National Life Insurance Company-Hospital Indemnity 686055—321$96K$45K
Lincoln National Life Insurance Company-Accident 686054Short-term disability455$88K$38K
Lincoln National Life Insurance Company-Critical Illness 686053Short-term disability342$82K$32K

Pharmacy benefit estimate

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

$2.2M/ year

Estimated prescription spend: 940 participants × $2,371 national average per member. Usually higher once dependents are counted.

$58K–$143K/ year

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

Brands with a generic available$17K–$42K
Lower-cost therapeutic alternatives$25K–$52K
Generic pricing vs. actual cost$11K–$32K
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
Mathis Bros Oklahoma City LLC
Sponsor EIN
20-0509563
Plan number
503
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 20-0509563 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Mathis Bros Oklahoma City 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 Mathis Bros Oklahoma City LLC.

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