Penney Opco, LLC
Overview
Penney Opco, LLC sponsors a self-funded health plan that covered 8,775 participants in plan year 2025, up 7% 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
- 8,775 · prior year 8,177
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Penney Opco LLC Texas Worker Injury Plan, plan 554 (8,775 participants)
- Broker compensation
- $719K 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 |
|---|---|---|---|---|
| Life Insurance Company of North America | Long-term disability, Short-term disability, Life, Accidental Death & Dismemberment, Business Travel Accident | 51,535 | $6.2M | $247K |
| Cigna Health and Life Insurance Company | Hospital Care, Accidental Injury, Voluntary Critical Il | 6,011 | $1.5M | $339K |
| Vision Service Plan | Vision | 8,597 | $1.4M | $69K |
| Triple S Salud, Inc. | Medical, Prescription drug | 192 | $900K | $45K |
| Aetna Life Insurance Co. | Dental | 3,502 | $825K | — |
| New York Life Group Insurance Company of New York | Short-term disability | 2,033 | $288K | $4K |
| MetLife Legal Plans | Legal | 640 | $133K | $16K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 8,775 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
- Penney Opco, LLC
- Sponsor EIN
- 85-3718114
- Plan number
- 554
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 85-3718114 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- J. C. Penney Corporation, Inc. Safe Harbor 401(k) Savings Plan
- Type
- 401(k) plan
- Participants
- 74,949
About this data
Source: Penney Opco, 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 Penney Opco, LLC.