Form 5500 · Employee benefit plan · ASHLAND, OR
BLACKSTONE AUDIO, INC.
The filing calls this plan BLACKSTONE AUDIO HEALTH INSURANCE PLAN.
BLACKSTONE AUDIO, INC. of ASHLAND, OR is a 255-participant finance and insurance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is ALLIANT INS SERVICES INC. Coverage is written through COMMENCEMENT BAY RISK MANAGEMENT INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-1060262 · plan 501 · plan year 2025, filed Mar 25, 2026
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21 other employer plans in Oregon have policy years ending in August. 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
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.
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 4 insured contracts covering health, dental, life, disability and stop-loss; the largest, with COMMENCEMENT BAY RISK MANAGEMENT INSURANCE COMPANY, covers 239 people.
The filing declares health, dental, life, disability and vision. Vision appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
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 $522,746, with $29,957 in disclosed broker commissions — about 5.7% of premium.
The most recent policy period ended in August, and the plan year ends August 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| COMMENCEMENT BAY RISK MANAGEMENT INSURANCE COMPANY | Health, Stop-loss | 239 | Sep 1, 2025 | $453,653 | $23,864 |
| STANDARD INSURANCE COMPANY | Disability | 233 | Sep 1, 2025 | $38,079 | $4,268 |
| STANDARD INSURANCE COMPANY | Life | 233 | Sep 1, 2025 | $18,963 | $1,825 |
| WILLAMETTE DENTAL INSURANCE, INC. | Dental | 26 | Sep 1, 2025 | $12,051 | $0 |
Premium and claims on these contracts
STANDARD INSURANCE COMPANY, contract 167910. For the contract year on this filing, the carrier reported $38,079 in premium earned and $1,595 in claims incurred. Dividing one by the other gives 4%.
STANDARD INSURANCE COMPANY, contract 167910. For the contract year on this filing, the carrier reported $18,963 in premium earned and $171 in claims incurred. Dividing one by the other gives 1%.
WILLAMETTE DENTAL INSURANCE, INC., contract OR332. For the contract year on this filing, the carrier reported $12,051 in premium earned and $6,702 in claims incurred. Dividing one by the other gives 56%.
- STANDARD INSURANCE COMPANY, contract 167910 reported $36,483 in retention.
- STANDARD INSURANCE COMPANY, contract 167910 reported $18,792 in retention.
- WILLAMETTE DENTAL INSURANCE, INC., contract OR332 reported $1,566 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.
Other plans filed by this employer
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