Form 5500 · Employee benefit plan · SAN DIEGO, CA
BENEFITS PLUS TRUST FUND WELFARE BENEFIT PLAN
Public Form 5500 records show how BENEFITS PLUS TRUST FUND WELFARE BENEFIT PLAN of SAN DIEGO, CA, a finance and insurance employer, structures its employee benefits. Coverage is written through BLUE CROSS AND BLUE SHIELD OF ALABAMA and 4 other carriers. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 33-6162794 · plan 504 · plan year 2024, filed Jan 15, 2025
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How this plan is funded
Both, as reported
The filing reports both insurance premium and benefits paid from the plan's own money, and the two amounts do not line up.
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.
The filing says this plan is subject to the Form M-1 requirement for multiple-employer welfare arrangements.
Benefits declared on this filing
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 5 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS AND BLUE SHIELD OF ALABAMA, covers 25 people.
Reported premium is $140,038; the filing discloses no broker commission on these contracts.
The health contract's policy period ended in March, while at least one ancillary line's policy period ended in December. The plan is on a split renewal cycle.
No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.
5 carriers appear on the filing, including BLUE CROSS AND BLUE SHIELD OF ALABAMA, METROPOLITAN LIFE INSURANCE COMPANY, DELTA DENTAL INSURANCE COMPANY and VISION SERVICE PLAN. BLUE CROSS AND BLUE SHIELD OF ALABAMA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF ALABAMA | Health | 25 | Apr 1, 2024 | $97,014 | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | Life, Disability | 218 | Apr 1, 2024 | $23,560 | $0 |
| DELTA DENTAL INSURANCE COMPANY | Dental | 0 | Jan 1, 2024 | $16,472 | $0 |
| VISION SERVICE PLAN | Vision | 38 | Apr 1, 2024 | $2,456 | $0 |
| HARTFORD LIFE AND ACCIDENT | Health | 1 | Apr 1, 2024 | $536 | $0 |
Premium and claims on this contract
BLUE CROSS AND BLUE SHIELD OF ALABAMA, contract 09148. For the contract year on this filing, the carrier reported $97,014 in premium earned and $15,494 in claims incurred. Dividing one by the other gives 16%.
- BLUE CROSS AND BLUE SHIELD OF ALABAMA, contract 09148 reported $4,722 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. We publish company names only.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule I
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
How this plan compares
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