Mercedes-Benz USA, LLC
Overview
Mercedes-Benz USA, LLC sponsors a self-funded health plan that covered 1,233 participants in plan year 2025, about the same as 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
- 1,233 · prior year 1,241
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Mercedes-Benz USA, LLC Retiree Medical Plan, plan 510 (1,233 participants)
- Broker compensation
- $300K 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 |
|---|---|---|---|---|
| Sun Life Assurance Company of Canada | Life, Long-term disability | 3,061 | $2.8M | $197K |
| Kaiser Foundation Health Plan Inc. | Medical, Prescription drug, HMO | 100 | $1.4M | $45K |
| Vision Service Plan | Vision | 2,722 | $583K | $58K |
| Headspace, Inc. | Employee Assistance Program | 3,135 | $167K | — |
| Federal Insurance Company | Business Travel Accident | 3,114 | — | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,233 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
- Mercedes-Benz USA, LLC
- Sponsor EIN
- 22-2375138
- Plan number
- 510
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 22-2375138 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Mercedes-Benz USA, LLC Employees' Retirement Savings Plan
- Type
- 401(k) plan
- Participants
- 5,164
About this data
Source: Mercedes-Benz USA, 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 Mercedes-Benz USA, LLC.