Moac Mall Holdings LLC
Overview
Moac Mall Holdings LLC sponsors a self-funded health plan that covered 729 participants in plan year 2024. The plan year starts in July. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 729
- Plan year
- Begins July 1 · next renewal July 2027
- Health plans filed
- Moac Mall Holdings LLC Health & Welfare Plan, plan 503 (729 participants)
- Stop-loss carrier
- Granular Insurance Company
- Broker compensation
- $148K 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 |
|---|---|---|---|---|
| Granular Insurance Company | Stop-loss | 610 | $1.1M | $111K |
| Unum Life Insurance Company of America | Life, Long-term disability | 729 | $439K | $32K |
| Vision Services Plan | Vision | 629 | $77K | $6K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 729 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
- Moac Mall Holdings LLC
- Sponsor EIN
- 36-4309812
- Plan number
- 503
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 36-4309812 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Mall of America Employee Retirement Savings Plan
- Type
- 401(k) plan
- Participants
- 1,651
About this data
Source: Moac Mall Holdings 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 Moac Mall Holdings LLC.