Plymouth Tube Company
Overview
Plymouth Tube Company sponsors a self-funded health plan that covered 529 participants in plan year 2025, down 16% 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
- 529 · prior year 633
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Plymouth Tube Company Employee Benefit Plan, plan 501 (529 participants)
- Stop-loss carrier
- Blue Cross Blue Shield of Illinois
- Broker compensation
- $96K 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 |
|---|---|---|---|---|
| Blue Cross Blue Shield of Illinois | Stop-loss | 781 | $3.5M | $66K |
| Lincoln National Life Insurance Company | Life, Long-term disability | 433 | $213K | $29K |
| Vision Service Plan | Vision | 352 | $47K | — |
| Empathia, Inc. | Employee Assistance Plan | 446 | $9K | — |
| National Union Fire Insurance Company of Pittsburgh | Business Travel Accident | 433 | $3K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 529 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
- Plymouth Tube Company
- Sponsor EIN
- 38-0933700
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 38-0933700 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Plymouth Tube Company'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 Plymouth Tube Company.