Purcell Tire & Rubber Company
Overview
Purcell Tire & Rubber Company sponsors a self-funded health plan that covered 1,085 participants in plan year 2025, up 25% 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
- 1,085 · prior year 870
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Purcell Tire & Rubber Company Insurance Plan, plan 501 (1,085 participants)
- Stop-loss carrier
- HM Life Insurance Company
- Broker compensation
- $169K 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 |
|---|---|---|---|---|
| HM Life Insurance Company | Stop-loss | 657 | $1.9M | — |
| Standard Insurance Company | Life, Long-term disability, Short-term disability, Vision, Dental | 847 | $1.2M | $169K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,085 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
- Purcell Tire & Rubber Company
- Sponsor EIN
- 43-0922026
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 43-0922026 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Purcell Tire & Rubber 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 Purcell Tire & Rubber Company.