Pomps Tire Service Inc.
Overview
Pomps Tire Service Inc. sponsors a self-funded health plan that covered 2,097 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.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 2,097 · prior year 2,115
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Pomp's Tire Service Inc. Employee Health Plan, plan 504 (2,097 participants); Pomp's Tire Service Inc. Flexible Compensation Plan, plan 506 (310 participants)
- Stop-loss carrier
- Sun Life Financial
- Broker compensation
- $229K 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 |
|---|---|---|---|---|
| Sun Life Financial | Stop-loss | 1,944 | $1.4M | $196K |
| Delta Dental of Wisconsin | Dental | 1,387 | $1.3M | $13K |
| Wyssta Insurance Company Inc. | Vision | 1,645 | $162K | — |
| UnitedHealthcare Insurance Company | Life | 4,619 | $128K | $19K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 2,097 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
- Pomps Tire Service Inc.
- Sponsor EIN
- 39-0838986
- Plan numbers
- 504, 506
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 39-0838986 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Pomps Tire Service Inc. Salary Savings Plan
- Type
- 401(k) plan
- Participants
- 3,330
About this data
Source: Pomps Tire Service Inc.'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 Pomps Tire Service Inc..