Summit Polymers, Inc.
Overview
Summit Polymers, Inc. sponsors a self-funded health plan that covered 1,645 participants in plan year 2025, up 6% 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
- 1,645 · prior year 1,547
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Summit Polymers, Inc. Employee Benefit Plan, plan 504 (1,645 participants)
- Broker compensation
- $237K 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 |
|---|---|---|---|---|
| Metropolitan Life Insurance Company | Life, Short-term disability, Long-term disability | 1,645 | $1.2M | $172K |
| Blue Cross Blue Shield of Michigan | Dental | 2,001 | $502K | $56K |
| National Vision Administrators, L.l.c. | Vision | 1,890 | $90K | $9K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,645 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
- Summit Polymers, Inc.
- Sponsor EIN
- 38-1990845
- Plan number
- 504
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 38-1990845 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Summit Polymers, Inc. Employees' Profit Sharing Plan
- Type
- 401(k) plan
- Participants
- 2,595
About this data
Source: Summit Polymers, 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 Summit Polymers, Inc..