Mavis Tire Supply LLC
Overview
Mavis Tire Supply LLC sponsors a self-funded health plan that covered 11,649 participants in plan year 2024. The plan year starts in June. Alongside medical, its benefits filing reports dental, vision.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 11,649
- Plan year
- Begins June 1 · next renewal June 2027
- Health plans filed
- Mavis Tire Supply Health Plan, plan 502 (11,649 participants)
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 11,649 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 2024
- Plan sponsor
- Mavis Tire Supply LLC
- Sponsor EIN
- 45-5259604
- Plan number
- 502
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 45-5259604 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Mavis Tire Supply LLC 401(k) Plan
- Type
- 401(k) plan
- Participants
- 14,154
About this data
Source: Mavis Tire Supply LLC's Form 5500 filing for plan year 2024 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 Mavis Tire Supply LLC.