MBD GP LLC
Overview
MBD GP LLC sponsors a self-funded health plan that covered 516 participants in plan year 2024. The plan year starts in March. 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
- 516
- Plan year
- Begins March 1 · next renewal March 2027
- Health plans filed
- Avondale Group Benefits Plan, plan 501 (516 participants)
- Broker compensation
- $29K 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 |
|---|---|---|---|---|
| Prudential Insurance Company of America | Life, Short-term disability, Long-term disability | 516 | $404K | $4K |
| Cigna Health and Life Insurance Company and Affiliates | Dental | 383 | $283K | — |
| Reliastar Life Insurance Company | Accident, Hospital | 366 | $103K | $25K |
| Vision Service Plan | Vision | 322 | $35K | — |
| Aetna Behavioral Health, LLC | Employee Assistance Program | 516 | $7K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 516 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
- MBD GP LLC
- Sponsor EIN
- 75-2201800
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 75-2201800 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: MBD GP 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 MBD GP LLC.