Prudential Overall Supply
Overview
Prudential Overall Supply sponsors a self-funded health plan that covered 1,290 participants in plan year 2024. The plan year starts in October. 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
- 1,290
- Plan year
- Begins October 1 · next renewal October 2027
- Health plans filed
- Prudential Overall Supply Employee Welfare Benefit Plan, plan 503 (1,290 participants)
- Stop-loss carrier
- HCC Life
- Broker compensation
- $268K 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 |
|---|---|---|---|---|
| HCC Life | Stop-loss | 1,206 | $1.7M | $142K |
| Kaiser Foundation Health Plan Inc. | Medical, Prescription drug, HMO | 71 | $1.0M | — |
| Unum Life Insurance Company of America | Life, Long-term disability, Lifestyle Life and Accidental Death and , Voluntary Short Term Disability | 1,944 | $868K | $79K |
| Unum Insurance Company | Critical Illness, Accident, Hospital Indemnity | 317 | $174K | $47K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,290 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 2024
- Plan sponsor
- Prudential Overall Supply
- Sponsor EIN
- 95-6542231
- Plan number
- 503
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 95-6542231 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Prudential Overall Supply's Form 5500 filing for plan year 2024 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 Prudential Overall Supply.