Revolucion Holding Inc. DBA Condado Tacos

Columbus, OH HospitalityNAICS 722511

Self-funded health planPlan year 2024Renews February
551ParticipantsFirst year on file
$1.3MEst. pharmacy spend / yrParticipants × national avg.
Feb 2027Next renewalPlan year begins February 1
#5 of 7Hospitality in OHBy participants

Overview

Revolucion Holding Inc. DBA Condado Tacos sponsors a self-funded health plan that covered 551 participants in plan year 2024. The plan year starts in February. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
551
Plan year
Begins February 1 · next renewal February 2027
Health plans filed
Revolucion Holding Inc. DBA Condado Tacos Employee Benefit Plan, plan 501 (551 participants)
Broker compensation
$9K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityOther welfare benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Cigna Health and Life Insurance CompanyDental, Vision321$91K$8K
Life Insurance Company of North AmericaLife, Accidental Death & Dismemberment, Short-term disability366$12K$1K

Pharmacy benefit estimate

StreamRX estimate for a plan this size. Not based on this plan's claims.

$1.3M/ year

Estimated prescription spend: 551 participants × $2,371 national average per member. Usually higher once dependents are counted.

$34K–$84K/ year

Typical savings opportunity found in independent reviews of plans this size.

Brands with a generic available$10K–$25K
Lower-cost therapeutic alternatives$15K–$30K
Generic pricing vs. actual cost$6K–$19K
PBM contract terms$3K–$10K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning February 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Revolucion Holding Inc. DBA Condado Tacos
Sponsor EIN
81-1153654
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 81-1153654 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Revolucion Holding Inc. DBA Condado Tacos'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 Revolucion Holding Inc. DBA Condado Tacos.

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