Form 5500 · Employee benefit plan · WALLINGFORD, CT
AMPHENOL CORPORATION & AFFILIATED COMPANIES
The filing calls this plan GROUP EMPLOYEE BENEFITS PLAN OF AMPHENOL CORPORATION.
AMPHENOL CORPORATION & AFFILIATED COMPANIES of WALLINGFORD, CT spreads its employee benefits across 10 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is MERCER HEALTH & BENEFITS LLC. Coverage is written through CVS PHARMACY, INC and 9 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 22-2785165 · plan 501 · plan year 2025, filed Sep 21, 2026
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692 other employer plans in Connecticut have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
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 16 insured contracts covering health, dental, vision, life, disability and stop-loss; the largest, with CVS PHARMACY, INC, covers 10,250 people.
The filing lists a stop-loss contract. On its own that does not settle whether the plan pays its own claims.
Reported premium across the insured contracts is $49,784,153, with $807,915 in disclosed broker commissions — about 1.6% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
MERCER HEALTH & BENEFITS LLC is the broker of record on 3 of the 16 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 9,437 | Jan 1, 2026 | $7,104,222 | $301,958 |
| HARTFORD LIFE AND ACCIDENT | Life | 2,879 | Jan 1, 2026 | $1,144,195 | $135,856 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Stop-loss | 1,012 | Jan 1, 2026 | $1,446,876 | $108,516 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 132 | Jan 1, 2026 | $1,222,215 | $66,812 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 69 | Jan 1, 2026 | $931,149 | $50,621 |
| UNITED AMERICAN INSURANCE COMPANY | Health | 81 | Jan 1, 2026 | $224,836 | $39,676 |
| HARTFORD LIFE AND ACCIDENT | Disability | 650 | Jan 1, 2026 | $662,446 | $29,913 |
| FEDERAL INSURANCE COMPANY | — | 2,231 | Jan 1, 2026 | $187,875 | $28,181 |
| FEDERAL INSURANCE COMPANY | — | 6,256 | Jan 1, 2026 | $183,771 | $27,566 |
| ELIXIR | Health | 74 | Jan 1, 2026 | $102,318 | $7,642 |
| ACE AMERICAN INSURANCE COMPANY | — | 6,256 | Jan 1, 2026 | $33,622 | $6,724 |
| ELIXIR | Health | 41 | Jan 1, 2026 | $20,137 | $4,450 |
| CVS PHARMACY, INC | Health | 10,250 | Jan 1, 2026 | $22,986,379 | $0 |
| CVS PHARMACY, INC | Health | 2,347 | Jan 1, 2026 | $7,899,858 | $0 |
| DELTA DENTAL OF NEW JERSEY, INC. | Dental | 9,751 | Jan 1, 2026 | $4,800,834 | $0 |
| ANTHEM HEALTH PLANS, INC. | Vision | 12,268 | Jan 1, 2026 | $833,420 | $0 |
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.
Reported to OSHA
Reported to OSHA for 2025: 263 employees, 4 recordable cases, 77 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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