Shift4 Payments, LLC
Overview
Shift4 Payments, LLC sponsors a self-funded health plan that covered 2,080 participants in plan year 2025, up 4% 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
- 2,080 · prior year 1,994
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Shift4 Payments, LLC Employee Benefits Plan, plan 501 (2,080 participants)
- Broker compensation
- $127K 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 |
|---|---|---|---|---|
| Aetna Life Insurance Company | Dental | 2,556 | $1.3M | — |
| Hartford Life and Accident | Life, Short-term disability, Long-term disability | 2,089 | $987K | $108K |
| Vision Service Plan | Vision | 1,607 | $185K | $18K |
| National Union Fire Ins. Co. of Pittsburgh, PA | Business Travel Accident | 2,038 | $3K | $732 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 2,080 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
- Shift4 Payments, LLC
- Sponsor EIN
- 46-5216257
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 46-5216257 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Shift4 401(k) Plan
- Type
- 401(k) plan
- Participants
- 3,651
About this data
Source: Shift4 Payments, LLC'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 Shift4 Payments, LLC.