OX Paper Tube & Core LLC
Overview
OX Paper Tube & Core LLC sponsors a self-funded health plan that covered 555 participants in plan year 2024. The plan year starts in October. Alongside medical, its benefits filing reports life insurance, dental, vision, prepaid legal, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 555
- Plan year
- Begins October 1 · next renewal October 2027
- Health plans filed
- OX Paper Tube & Core Health and Welfare Plan, plan 504 (555 participants)
- Broker compensation
- $23K 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 |
|---|---|---|---|---|
| Metropolitan Life Insurance Company | Dental | 865 | $217K | $26 |
| United of Omaha Life Insurance Company | Life, Long-term disability | 555 | $215K | $21K |
| Eyemed Vision Care on Behalf of the Fidelity Security Life Ins. Co. | Vision | 816 | $60K | — |
| MetLife Legal Plans | Legal | 44 | $15K | $1K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 555 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
- OX Paper Tube & Core LLC
- Sponsor EIN
- 46-5660730
- Plan number
- 504
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 46-5660730 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- OX Industries 401(k) Plan
- Type
- 401(k) plan
- Participants
- 711
About this data
Source: OX Paper Tube & Core 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 OX Paper Tube & Core LLC.