SA Hospitality Group, LLC
Overview
SA Hospitality Group, LLC sponsors a self-funded health plan that covered 1,413 participants in plan year 2024. The plan year starts in November. Alongside medical, its benefits filing reports life insurance, dental, vision, death benefits.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 1,413
- Plan year
- Begins November 1 · next renewal November 2027
- Health plans filed
- SA Hospitality Group Health and Welfare Benefit Plan, plan 501 (1,413 participants)
- Broker compensation
- $11K 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 |
|---|---|---|---|---|
| Principal Life Insurance Company | Dental, Vision, PPO | 229 | $145K | $8K |
| Metropolitan Life Insurance Company | Life | 1,413 | $18K | $3K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,413 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
- SA Hospitality Group, LLC
- Sponsor EIN
- 13-4227034
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 13-4227034 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: SA Hospitality Group, LLC'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 SA Hospitality Group, LLC.