Poly-America, LP
Overview
Poly-America, LP sponsors a self-funded health plan that covered 4,139 participants in plan year 2025, up 4% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports dental, death benefits.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 4,139 · prior year 3,997
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Poly-America Medical and Dental Benefits Plan, plan 502 (4,139 participants)
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 4,139 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
- Poly-America, LP
- Sponsor EIN
- 36-2809122
- Plan number
- 502
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 36-2809122 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Poly-America, L.P. Retirement Plan
- Type
- 401(k) plan
- Participants
- 5,610
About this data
Source: Poly-America, LP'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 Poly-America, LP.