Paycom Payroll LLC
Overview
Paycom Payroll LLC sponsors a self-funded health plan that covered 7,215 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
- 7,215 · prior year 7,215
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Paycom Payroll, LLC Welfare Benefits Plan, plan 505 (7,215 participants)
- Broker compensation
- $469K 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 |
|---|---|---|---|---|
| Prudential Insurance Company of America | Life, Short-term disability, Long-term disability | 5,636 | $4.3M | $432K |
| Delta Dental of Oklahoma | Dental | 5,182 | $4.1M | — |
| Vision Service Plan | Vision | 4,488 | $680K | $37K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 7,215 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
- Paycom Payroll LLC
- Sponsor EIN
- 26-0302465
- Plan number
- 505
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 26-0302465 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Paycom 401(k) Plan
- Type
- 401(k) plan
- Participants
- 9,712
About this data
Source: Paycom Payroll 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 Paycom Payroll LLC.