Form 5500 · Employee benefit plan · DALLAS, TX
AT&T INC.
The filing calls this plan AT&T UMBRELLA BENEFIT PLAN NO. 3.
AT&T INC. of DALLAS, TX insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is STRATEGIC NON-MEDICAL SOLUTIONS LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 19 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 43-1301883 · plan 603 · plan year 2024, filed Oct 8, 2025
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How this plan is funded
Fully insured as reported
The plan's own financial statement reports paying insurance carriers about what the insurance contracts report in premium.
Benefits declared on this filing
Disability: the largest of the 2 insured disability contracts, with PRUDENTIAL INSURANCE COMPANY OF AMERICA, covers 2,198 of 104,823 participants (2.1%) on Schedule A.
Also declared: prepaid legal, 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.
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 34 insured contracts covering health, dental, vision, life and disability.
Reported premium is $421,233,936; the filing discloses no broker commission on these contracts.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
STRATEGIC NON-MEDICAL SOLUTIONS LLC is the broker of record on 2 of the 34 contracts; the rest name a different broker or none.
20 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN, INC., UNITEDHEALTHCARE INSURANCE COMPANY, METROPOLITAN LIFE INSURANCE COMPANY and KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.. KAISER FOUNDATION HEALTH PLAN, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 18,875 | Jan 1, 2025 | $165,169,515 | $0 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 7,652 | Jan 1, 2025 | $62,747,369 | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health, Life | 270,571 | Jan 1, 2025 | $57,664,077 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. | Health | 4,579 | Jan 1, 2025 | $30,919,794 | $0 |
| AVMED | Health | 3,239 | Jan 1, 2025 | $19,511,189 | $0 |
| BLUE CARE NETWORK OF MICHIGAN | Health | 2,175 | Jan 1, 2025 | $15,517,567 | $0 |
| HEALTH CARE SERVICE CORPORATION | Health | 1,602 | Jan 1, 2025 | $11,605,260 | $0 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental | 35,007 | Jan 1, 2025 | $11,251,302 | $0 |
| PRIORITY HEALTH | Health | 1,690 | Jan 1, 2025 | $9,836,204 | $0 |
| HEALTH ADVANTAGE | Health | 1,399 | Jan 1, 2025 | $7,291,616 | $0 |
| EYEMED VISION CARE | Vision | 110,087 | Jan 1, 2025 | $5,656,017 | $0 |
| HEALTH CARE SERVICE CORPORATION | Health | 435 | Jan 1, 2025 | $3,093,632 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | Health | 431 | Jan 1, 2025 | $3,039,851 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Health | 545 | Jan 1, 2025 | $2,794,013 | $0 |
| EYEMED VISION CARE | Vision | 42,673 | Jan 1, 2025 | $1,884,041 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. | Health | 229 | Jan 1, 2025 | $1,854,450 | $0 |
| HEALTH CARE SERVICE CORPORATION | Health | 134 | Jan 1, 2025 | $1,772,472 | $0 |
| AVMED | Health | 66 | Jan 1, 2025 | $1,611,962 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Dental | 217 | Jan 1, 2025 | $1,454,753 | $0 |
| PRIORITY HEALTH | Health | 101 | Jan 1, 2025 | $1,224,788 | $0 |
| TRIPLE S SALUD, INC. | Health | 75 | Jan 1, 2025 | $1,029,263 | $0 |
| HEALTH ADVANTAGE | Health | 183 | Jan 1, 2025 | $1,013,215 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 131 | Jan 1, 2025 | $861,123 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII | Health | 96 | Jan 1, 2025 | $680,195 | $0 |
| HEALTH NET | Health, Vision | 85 | Jan 1, 2025 | $430,338 | $0 |
| EYEMED VISION CARE | Vision | 110,096 | Jan 1, 2025 | $428,814 | $0 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Disability | 2,198 | Jan 1, 2025 | $387,818 | $0 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental, Vision | 27 | Jan 1, 2025 | $198,245 | $0 |
| HEALTH CARE SERVICE CORPORATION | Health | 11 | Jan 1, 2025 | $161,134 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Dental | 20 | Jan 1, 2025 | $105,032 | $0 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Disability | 420 | Jan 1, 2025 | $35,460 | $0 |
| EYEMED VISION CARE | Vision | 36 | Jan 1, 2025 | $1,805 | $0 |
| EYEMED VISION CARE | Vision | 39 | Jan 1, 2025 | $1,387 | $0 |
| EYEMED VISION CARE | Vision | 67 | Jan 1, 2025 | $235 | $0 |
Premium and claims on these contracts
HEALTH ADVANTAGE, contract 776414-ACTIVE. For the contract year on this filing, the carrier reported $7,291,616 in premium earned and $7,184,411 in claims incurred. Dividing one by the other gives 99%.
TRIPLE S SALUD, INC., contract SP0003564. For the contract year on this filing, the carrier reported $1,029,263 in premium earned and $1,220,752 in claims incurred. Dividing one by the other gives 119%.
HEALTH ADVANTAGE, contract 776414-RET. For the contract year on this filing, the carrier reported $1,013,215 in premium earned and $1,971,158 in claims incurred. Dividing one by the other gives 195%.
- HEALTH ADVANTAGE, contract 776414-ACTIVE reported $769,948 in retention.
- TRIPLE S SALUD, INC., contract SP0003564 reported $0 in retention.
- HEALTH ADVANTAGE, contract 776414-RET reported $128,421 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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. The service providers are named on Schedule C of this filing. We publish company names only.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
Other plans filed by this employer
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