Windsor House, Inc. c/o Fifth Third Bank Ttee
Overview
Windsor House, Inc. c/o Fifth Third Bank Ttee sponsors a self-funded health plan that covered 961 participants in plan year 2024. The plan year starts in July. 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
- 961
- Plan year
- Begins July 1 · next renewal July 2027
- Health plans filed
- Windsor House Employees Group Health Plan, plan 501 (961 participants)
- Stop-loss carrier
- Community Insurance Company DBA Anthem Blue Cross and Blue Shield
- Broker compensation
- $89K 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 |
|---|---|---|---|---|
| Community Insurance Company DBA Anthem Blue Cross and Blue Shield | Stop-loss | 771 | $407K | — |
| The Guardian Life Insurance Company of America | Dental, Vision, Life, Short-term disability, Long-term disability | 643 | $400K | $88K |
| Metropolitan Life Insurance Company | Life | 870 | $17K | $1K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 961 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
- Windsor House, Inc. c/o Fifth Third Bank Ttee
- Sponsor EIN
- 34-1720803
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 34-1720803 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Windsor House, Inc. c/o Fifth Third Bank Ttee'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 Windsor House, Inc. c/o Fifth Third Bank Ttee.