TOM James Company

Franklin, TN RetailNAICS 454390

Self-funded health planPlan year 2025Renews June
1,326Participants-4% vs. prior year
$3.1MEst. pharmacy spend / yrParticipants × national avg.
Jun 2027Next renewalPlan year begins June 1
#8 of 14Retail in TNBy participants

Overview

TOM James Company sponsors a self-funded health plan that covered 1,326 participants in plan year 2025, down 4% from the prior year. The plan year starts in June. 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
1,326 · prior year 1,378
Plan year
Begins June 1 · next renewal June 2027
Health plans filed
TOM James Company Group Benefit Plan, plan 501 (1,326 participants)
Broker compensation
$119K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Standard Insurance CompanyLife, Long-term disability1,326$653K$94K
Delta Dental of TennesseeDental1,274$381K$17K
Vision Service PlanVision406$40K$4K
Cigna Health and Life Insurance Company and AffiliatesDental154$34K$3K

Pharmacy benefit estimate

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

$3.1M/ year

Estimated prescription spend: 1,326 participants × $2,371 national average per member. Usually higher once dependents are counted.

$82K–$202K/ year

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

Brands with a generic available$24K–$60K
Lower-cost therapeutic alternatives$35K–$73K
Generic pricing vs. actual cost$15K–$45K
PBM contract terms$8K–$24K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning June 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
TOM James Company
Sponsor EIN
35-1285878
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 35-1285878 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
TOM James Company 401(k) and Profit Sharing Plan
Type
401(k) plan
Participants
1,950

About this data

Source: TOM James 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 TOM James Company.

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