Toto USA, Inc.

Morrow, GA ManufacturingNAICS 327900

Self-funded health planPlan year 2025Renews January
647Participants+0% vs. prior year
$1.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#66 of 82Manufacturing in GABy participants

Overview

Toto USA, Inc. sponsors a self-funded health plan that covered 647 participants in plan year 2025, about the same as 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
647 · prior year 646
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Toto USA, Inc. Welfare Benefit Plan, plan 501 (647 participants)
Stop-loss carrier
Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.
Broker compensation
$35K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.Dental, Vision, Stop-loss569$1.8M$4K
Metropolitan Life Insurance CompanyLife, Short-term disability, Long-term disability759$263K$30K
Anthem Insurance Companies, Inc.—506$45K—
Metropolitan General Insurance CompanyLegal45$10K$986

Pharmacy benefit estimate

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

$1.5M/ year

Estimated prescription spend: 647 participants × $2,371 national average per member. Usually higher once dependents are counted.

$40K–$98K/ year

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

Brands with a generic available$12K–$29K
Lower-cost therapeutic alternatives$17K–$36K
Generic pricing vs. actual cost$7K–$22K
PBM contract terms$4K–$12K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning January 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
Toto USA, Inc.
Sponsor EIN
58-1967262
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 58-1967262 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Toto USA, Inc. 401(k) Retirement Plan
Type
401(k) plan
Participants
694

About this data

Source: Toto USA, 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 Toto USA, Inc..

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