Ross Dress for Less, Inc.

Dublin, CA RetailNAICS 448140

Self-funded health planPlan year 2025Renews February
15,753Participants+5% vs. prior year
$37.4MEst. pharmacy spend / yrParticipants × national avg.
Feb 2027Next renewalPlan year begins February 1
#1 of 20Retail in CABy participants

Overview

Ross Dress for Less, Inc. sponsors a self-funded health plan that covered 15,753 participants in plan year 2025, up 5% from the prior year. The plan year starts in February. Alongside medical, its benefits filing reports dental, vision, short-term disability, death benefits.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
15,753 · prior year 15,038
Plan year
Begins February 1 · next renewal February 2027
Health plans filed
Ross Dress for Less, Inc. Texas Injury Benefit Plan, plan 601 (15,753 participants)
MedicalDentalVisionShort-term disabilityDeath benefitsOther welfare benefits

Pharmacy benefit estimate

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

$37.4M/ year

Estimated prescription spend: 15,753 participants × $2,371 national average per member. Usually higher once dependents are counted.

$971K–$2.4M/ year

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

Brands with a generic available$284K–$710K
Lower-cost therapeutic alternatives$415K–$867K
Generic pricing vs. actual cost$179K–$538K
PBM contract terms$93K–$280K
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 2025
Plan sponsor
Ross Dress for Less, Inc.
Sponsor EIN
20-0594333
Plan number
601
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 20-0594333 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Ross Dress for Less, Inc.'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 Ross Dress for Less, Inc..

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