Ocean State Jobbers Inc. & Affiliates
Overview
Ocean State Jobbers Inc. & Affiliates sponsors a self-funded health plan that covered 996 participants in plan year 2025, up 11% from 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
- 996 · prior year 896
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Ocean State Jobbers, Inc. Wrap Benefit Plan, plan 507 (996 participants)
- Broker compensation
- $85K 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 |
|---|---|---|---|---|
| Reliastar Life Insurance Company | Life, Short-term disability, Long-term disability | 777 | $522K | $81K |
| Delta Dental of Rhode Island | Dental | 1,005 | $280K | $3K |
| Eyemed Vision Care | Vision | 589 | $41K | — |
| Empathia, Inc. | Employee Assistance Program | 1,212 | $8K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 996 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
- Ocean State Jobbers Inc. & Affiliates
- Sponsor EIN
- 05-0373793
- Plan number
- 507
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 05-0373793 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Ocean State Jobbers Inc. & Affiliates'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 Ocean State Jobbers Inc. & Affiliates.