Village Super Market, Inc.
Overview
Village Super Market, Inc. sponsors a self-funded health plan that covered 572 participants in plan year 2025, down 3% 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
- 572 · prior year 591
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Village Super Market, Inc. Health and Welfare Plan, plan 501 (572 participants)
- Broker compensation
- $45K 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 |
|---|---|---|---|---|
| Horizon Healthcare Services, Inc. | Dental | 452 | $364K | $18K |
| Prudential Insurance Company of America | Life, Short-term disability, Long-term disability | 567 | $219K | $22K |
| Dearborn Life Insurance Company | Life | 572 | $182K | $5K |
| Vision Service Plan | Vision | 341 | $92K | $416 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 572 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
- Village Super Market, Inc.
- Sponsor EIN
- 22-1576170
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 22-1576170 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Village Super Market, Inc. Employees Thrift Savings Plan
- Type
- 401(k) plan
- Participants
- 961
About this data
Source: Village Super Market, 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 Village Super Market, Inc..