Tsmc North America

San Jose, CA ManufacturingNAICS 334310

Self-funded health planPlan year 2025Renews January
686Participants+4% vs. prior year
$1.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#48 of 61Manufacturing in CABy participants

Overview

Tsmc North America sponsors a self-funded health plan that covered 686 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
686 · prior year 663
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Tsmc NA Health & Welfare Plan, plan 501 (686 participants)
Stop-loss carrier
Cigna Health & Life Insurance Co.
Broker compensation
$282K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disability

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Cigna Health & Life Insurance Co.Medical, Stop-loss698$1.7M$107K
Delta Dental of CaliforniaDental698$1.3M$40K
Lincoln National Life Insurance CompanyLife, Long-term disability, Short-term disability689$889K$99K
Vision Service PlanVision366$347K$35K
Lincoln National Life Insurance Co.Life646$25K$1K

Pharmacy benefit estimate

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

$1.6M/ year

Estimated prescription spend: 686 participants × $2,371 national average per member. Usually higher once dependents are counted.

$42K–$104K/ year

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

Brands with a generic available$12K–$31K
Lower-cost therapeutic alternatives$18K–$38K
Generic pricing vs. actual cost$8K–$23K
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
Tsmc North America
Sponsor EIN
77-0172737
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 77-0172737 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Tsmc North America 401(k) Plan
Type
401(k) plan
Participants
920

About this data

Source: Tsmc North America'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 Tsmc North America.

Request a correction · Methodology