Roberts Oxygen Company, Inc.
Overview
Roberts Oxygen Company, Inc. sponsors a self-funded health plan that covered 573 participants in plan year 2024. The plan year starts in April. Alongside medical, its benefits filing reports life insurance.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 573
- Plan year
- Begins April 1 · next renewal April 2027
- Health plans filed
- Roberts Oxygen Company, Inc. Health Care Plan, plan 503 (573 participants)
- Stop-loss carrier
- Symetra Life Insurance
- Broker compensation
- $32K 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 |
|---|---|---|---|---|
| Symetra Life Insurance | Medical, Prescription drug, Dental, Vision, Life, Stop-loss | 573 | $1.8M | $32K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 573 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
- Roberts Oxygen Company, Inc.
- Sponsor EIN
- 52-0822869
- Plan number
- 503
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 52-0822869 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Roberts Oxygen Company, Inc. Profit Sharing Plan
- Type
- Defined contribution plan
- Participants
- 873
About this data
Source: Roberts Oxygen Company, Inc.'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 Roberts Oxygen Company, Inc..