Ulta Salon, Cosmetics & Fragrances, Inc.
Overview
Ulta Salon, Cosmetics & Fragrances, Inc. sponsors a self-funded health plan that covered 21,601 participants in plan year 2024. The plan year starts in September. 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
- 21,601
- Plan year
- Begins September 1 · next renewal September 2027
- Health plans filed
- Ulta Salon, Cosmetics & Fragrances, Inc. Welfare Benefit Plan, plan 501 (21,601 participants)
- Broker compensation
- $2.9M 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 |
|---|---|---|---|---|
| Unum Life Insurance Company of America | Life, Short-term disability, Long-term disability | 21,601 | $16.5M | $717K |
| Metropolitan Life Insurance Company | Dental, Vision, Life, Short-term disability | 6,248 | $7.1M | $2.1M |
| Vision Service Plan | Vision | 12,089 | $1.6M | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 21,601 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 2024
- Plan sponsor
- Ulta Salon, Cosmetics & Fragrances, Inc.
- Sponsor EIN
- 36-3685240
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 36-3685240 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Ulta Salon Cosmetics & Fragrance 401(k) Retirement Plan
- Type
- 401(k) plan
- Participants
- 70,205
About this data
Source: Ulta Salon, Cosmetics & Fragrances, Inc.'s Form 5500 filing for plan year 2024 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 Ulta Salon, Cosmetics & Fragrances, Inc..