Form 5500 · Employee benefit plan · LEWISBURG, PA
AIRIAM MDT, LLC
The filing calls this plan AIRIAM MDT LLC HEALTH AND WELFARE PLAN.
AIRIAM MDT, LLC of LEWISBURG, PA insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is LISA, MICHAEL. Coverage is written through HIGHMARK INC. and 2 other carriers. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 87-1082476 · plan 501 · plan year 2024, filed Jun 19, 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.
Benefits declared on this filing
Also declared: death benefits, 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.
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 3 insured contracts covering health, dental, vision, life and disability; the largest, with HIGHMARK INC., covers 173 people.
Reported premium across the insured contracts is $1,106,254, with $53,100 in disclosed broker commissions — about 4.8% of premium.
The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.
LISA, MICHAEL is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including HIGHMARK INC., UNITED OF OMAHA LIFE INSURANCE COMPANY and UNITED CONCORDIA INSURANCE COMPANY. HIGHMARK INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HIGHMARK INC. | Health, Vision | 173 | Dec 1, 2024 | $983,768 | $37,829 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 85 | Dec 1, 2024 | $66,129 | $9,660 |
| UNITED CONCORDIA INSURANCE COMPANY | Dental | 171 | Dec 1, 2024 | $56,357 | $5,611 |
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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
How this plan compares
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