Powerhouse Retail Services, LLC
Overview
Powerhouse Retail Services, LLC sponsors a self-funded health plan that covered 606 participants in plan year 2025, down 8% 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
- 606 · prior year 658
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Powerhouse Retail Services, LLC Health & Welfare Benefit Plan, plan 501 (606 participants)
- Broker compensation
- $132K 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, Accidental Death & Dismemberment, Life, Short-term disability | 697 | $326K | $79K |
| Metropolitan Life Insurance Company | Dental | 737 | $230K | $22K |
| Reliastar Life Insurance Company | Accident, Critical Illness, Hospital Indemnity | 291 | $110K | $25K |
| Fidelity Security Life Insurance Company | Vision | 705 | $47K | $3K |
| Pre-Paid Legal Services Inc. DBA Legalshield | Legal Services Plan Memberships | 91 | $18K | $3K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 606 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
- Powerhouse Retail Services, LLC
- Sponsor EIN
- 26-0761398
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 26-0761398 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Powerhouse Retail Services 401(k) Plan
- Type
- 401(k) plan
- Participants
- 939
About this data
Source: Powerhouse Retail Services, 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 Powerhouse Retail Services, LLC.