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Form 5500 · Employee benefit plan · LAFAYETTE, LA

ACADIANA LEGAL SERVICE CORPORATION

The filing calls this plan ACADIANA LEGAL SERVICE CORPORATION EMPLOYEE BENEFIT PLAN.

ACADIANA LEGAL SERVICE CORPORATION of LAFAYETTE, LA insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is USI INSURANCE SERVICES, LLC. Coverage is written through BLUE CROSS AND BLUE SHIELD OF LOUISIANA and 2 other carriers. The plan's most recent policy period ended in May.

Benefits broker of record
Policy year ends
Mayas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 72-0832432 · plan 501 · plan year 2025, filed Nov 7, 2025

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How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
123
Active at start of year
123
Active at end of year
120
Disclosed commissions
$62,536
Typical renewal
June 1

Benefits declared on this filing

Healthinsured — BLUE CROSS AND BLUE SHIELD OF LOUISIANA113 of 123 participants (92%)
Dentalinsured — BLUE CROSS AND BLUE SHIELD OF LOUISIANA112 of 123 participants (91%)
Visioninsured — BLUE CROSS AND BLUE SHIELD OF LOUISIANA113 of 123 participants (92%)
Lifeinsured — RELIANCE STANDARD LIFE INSURANCE COMPANY23 of 123 participants (19%)
Disabilityinsured — NORTHWESTERN MUTUAL120 of 123 participants (98%) on the largest contract

Also declared: other welfare.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 7 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS AND BLUE SHIELD OF LOUISIANA, covers 113 people.

Reported premium across the insured contracts is $1,444,050, with $62,536 in disclosed broker commissions — about 4.3% of premium.

The most recent policy period ended in May, and the plan year ends May 31. Group contracts typically renew on that annual cycle.

USI INSURANCE SERVICES, LLC is the broker of record on 5 of the 7 contracts; the rest name a different broker or none.

3 carriers appear on the filing, including BLUE CROSS AND BLUE SHIELD OF LOUISIANA, NORTHWESTERN MUTUAL and RELIANCE STANDARD LIFE INSURANCE COMPANY. BLUE CROSS AND BLUE SHIELD OF LOUISIANA writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
BLUE CROSS AND BLUE SHIELD OF LOUISIANAHealth113Jun 1, 2025$1,238,577$43,350
NORTHWESTERN MUTUALDisability120Jun 1, 2025$58,126$6,324
BLUE CROSS AND BLUE SHIELD OF LOUISIANADental112Jun 1, 2025$51,221$5,122
NORTHWESTERN MUTUALDisability120Jun 1, 2025$56,981$4,313
RELIANCE STANDARD LIFE INSURANCE COMPANY—115Jun 1, 2025$16,937$1,206
BLUE CROSS AND BLUE SHIELD OF LOUISIANAVision113Jun 1, 2025$11,366$1,137
RELIANCE STANDARD LIFE INSURANCE COMPANYLife23Jun 1, 2025$10,842$1,084

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
ACADIANA LEGAL SERVICE CORPORATION
EIN 72-0832432

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

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