Weston and Sampson,inc.
Overview
Weston and Sampson,inc. sponsors a self-funded health plan that covered 920 participants in plan year 2024. The plan year starts in August. 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
- 920
- Plan year
- Begins August 1 · next renewal August 2027
- Health plans filed
- Weston and Sampson, Inc. Employee Benefits Plan, plan 501 (920 participants)
- Broker compensation
- $73K 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, Long-term disability | 920 | $398K | $43K |
| Eyemed Vision Care | Vision | 1,275 | $76K | $5K |
| Provident Life and Accident Insurance Company | Disability | 26 | $58K | $21K |
| Unum Insurance Company | Hospital EE Paid, Attained Age Critical Illness | 40 | $16K | $4K |
| Unum Life Insurance Company | Accident | 47 | $5K | $1K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 920 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
- Weston and Sampson,inc.
- Sponsor EIN
- 04-2601194
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 04-2601194 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Weston & Sampson 401(k) and Profit Sharing Plan
- Type
- 401(k) plan
- Participants
- 1,108
About this data
Source: Weston and Sampson,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 Weston and Sampson,inc..