Tiffany and Company
Overview
Tiffany and Company sponsors a self-funded health plan that covered 584 participants in plan year 2025, up 2% 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
- 584 · prior year 572
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Tiffany and Company Health Care Plan, plan 501 (584 participants)
- Broker compensation
- $85K 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 |
|---|---|---|---|---|
| Hartford Life and Accident | Life, Long-term disability | 6,839 | $3.5M | $57K |
| Hmsa Health Plan | Medical, Prescription drug | 81 | $430K | — |
| Cigna Health and Life Insurance Company | Medical, Dental | 51 | $169K | $17K |
| ComPsych | Employee Assistance Program | 5,495 | $114K | — |
| Hartford Life and Accident Insurance Co. | Accidental Death & Dismemberment | 4,490 | $65K | $10K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 584 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
- Tiffany and Company
- Sponsor EIN
- 13-1387680
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 13-1387680 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Tiffany and Company Pension Plan
- Type
- Pension plan
- Participants
- 4,033
About this data
Source: Tiffany and Company'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 Tiffany and Company.