Xerox Corporation
Overview
Xerox Corporation sponsors a self-funded health plan that covered 7,300 participants in plan year 2025, down 14% 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
- 7,300 · prior year 8,448
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Xerox Corporation Cafeteria Plan, plan 512 (7,300 participants)
- Broker compensation
- $432K 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 |
|---|---|---|---|---|
| Metropolitan Life Insurance Company | Life | 13,788 | $5.7M | $143K |
| Prudential Insurance Company of America | Long-term disability, Short-term disability | 7,654 | $2.4M | $50K |
| Kaiser Foundation Health Plan Inc. | Medical | 263 | $2.2M | — |
| Kaiser Foundation Health Plans, Inc. of Northern California | Medical, HMO | 175 | $1.5M | — |
| Continental American Insurance Company | Life | 2,270 | $1.1M | $219K |
| Blue Cross Blue Shield of Hawaii | Medical, HMO | 111 | $811K | — |
| Vision Service Plan | Vision | 5,654 | $768K | — |
| Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. | Medical, HMO | 67 | $570K | — |
| Kaiser Foundation Health Plan of the Northwest | Medical, HMO | 53 | $481K | — |
| Kaiser Foundation Health Plan of Washington | Medical | 36 | $365K | — |
| Kaiser Foundation Health Plan of Colorado | Medical | 35 | $353K | — |
| Kaiser Foundation Health Plan of Georgia | Medical, HMO | 25 | $248K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 7,300 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
- Xerox Corporation
- Sponsor EIN
- 16-0468020
- Plan number
- 512
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 16-0468020 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Xerox Corporation Savings Plan
- Type
- 401(k) plan
- Participants
- 20,394
About this data
Source: Xerox Corporation'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 Xerox Corporation.