Mitchell Grocery Corp.
Overview
Mitchell Grocery Corp. sponsors a self-funded health plan that covered 992 participants in plan year 2024. The plan year starts in July. 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
- 992
- Plan year
- Begins July 1 · next renewal July 2027
- Health plans filed
- Mitchell Grocery Corp. Group Health Care and Life, plan 501 (992 participants)
- Broker compensation
- $90K 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 |
|---|---|---|---|---|
| United of Omaha Life Insurance Company | Long-term disability, Life, Short-term disability, Accident, Critical Illness | 456 | $412K | $86K |
| Vision Service Plan | Vision | 309 | $40K | $4K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 992 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
- Mitchell Grocery Corp.
- Sponsor EIN
- 63-0499227
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 63-0499227 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Mitchell Grocery Corporation Profit Sharing/401(k) Plan
- Type
- 401(k) plan
- Participants
- 1,032
About this data
Source: Mitchell Grocery Corp.'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 Mitchell Grocery Corp..