Form 5500 · Employee benefit plan · STAMFORD, CT
BLUETRITON BRANDS INC
The filing calls this plan BLUETRITON BRANDS, INC HEALTH AND WELFARE BENEFIT PLAN.
BLUETRITON BRANDS INC of STAMFORD, CT files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is CUSTOM BENEFIT PROGRAMS. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 22 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-3027237 · plan 501 · plan year 2025, filed Aug 19, 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.
Benefits declared on this filing
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 30 insured contracts covering health, dental, vision, life and disability.
Reported premium across the insured contracts is $32,207,959, with $1,503,103 in disclosed broker commissions — about 4.7% 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.
CUSTOM BENEFIT PROGRAMS is the broker of record on 3 of the 30 contracts; the rest name a different broker or none.
23 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN, INC., PRIORITY HEALTH INSURANCE COMPANY, UPMC HEALTH OPTIONS and SECURIAN LIFE INSURANCE COMPANY. KAISER FOUNDATION HEALTH PLAN, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SECURIAN LIFE INSURANCE COMPANY | — | 1,654 | Jan 1, 2026 | $455,673 | $318,971 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 1,034 | Jan 1, 2026 | $7,655,236 | $192,365 |
| SECURIAN LIFE INSURANCE COMPANY | — | 1,348 | Jan 1, 2026 | $266,524 | $186,567 |
| SECURIAN LIFE INSURANCE COMPANY | — | 1,252 | Jan 1, 2026 | $256,866 | $179,806 |
| PRIORITY HEALTH INSURANCE COMPANY | Health | 585 | Jan 1, 2026 | $4,109,050 | $102,729 |
| DELTA DENTAL OF CONNECTICUT, INC. | Dental | 4,436 | Jan 1, 2026 | $2,009,491 | $100,405 |
| UPMC HEALTH OPTIONS | Health | 437 | Jan 1, 2026 | $3,364,268 | $82,793 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental, Vision | 2,589 | Jan 1, 2026 | $1,508,971 | $72,483 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 262 | Jan 1, 2026 | $2,544,010 | $65,183 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Dental | 1,157 | Jan 1, 2026 | $1,065,939 | $53,337 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental | 678 | Jan 1, 2026 | $608,643 | $30,183 |
| AETNA LIFE INSURANCE COMPANY | Health, Dental | 1,167 | Jan 1, 2026 | $503,753 | $25,524 |
| VISION SERVICE PLAN | Vision | 1,775 | Jan 1, 2026 | $342,383 | $22,251 |
| METLIFE LEGAL PLANS | — | 855 | Jan 1, 2026 | $189,018 | $18,738 |
| EYEMED VISION CARE | Vision | 3,181 | Jan 1, 2026 | $197,005 | $13,403 |
| KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. | Health | 74 | Jan 1, 2026 | $499,279 | $12,497 |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | Health | 61 | Jan 1, 2026 | $356,056 | $8,794 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Vision | 732 | Jan 1, 2026 | $83,710 | $5,416 |
| GEISINGER QUALITY OPTIONS, INC. | Health | 32 | Jan 1, 2026 | $189,995 | $4,750 |
| KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. | Health | 30 | Jan 1, 2026 | $165,724 | $4,198 |
| MEDICAL MUTUAL OF OHIO | Health | 9 | Jan 1, 2026 | $63,445 | $1,589 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | Health | 7 | Jan 1, 2026 | $44,838 | $1,121 |
| SECURIAN LIFE INSURANCE COMPANY | Life | 6,964 | Jan 1, 2026 | $3,006,702 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 6,930 | Jan 1, 2026 | $1,296,989 | $0 |
| HEALTH NET -CA | Health | 63 | Jan 1, 2026 | $985,912 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 6,935 | Jan 1, 2026 | $162,004 | $0 |
| NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | Disability | 417 | Jan 1, 2026 | $149,070 | $0 |
| MAGELLAN HEALTHCARE | — | 7,043 | Jan 1, 2026 | $104,486 | $0 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 1 | Jan 1, 2026 | $20,955 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 1 | Jan 1, 2026 | $1,964 | $0 |
Premium and claims on these contracts
DELTA DENTAL OF CONNECTICUT, INC., contract 04436. For the contract year on this filing, the carrier reported $2,009,344 in premium earned and $1,619,354 in claims incurred. Dividing one by the other gives 81%.
VISION SERVICE PLAN, contract 30106400. For the contract year on this filing, the carrier reported $342,383 in premium earned and $248,412 in claims incurred. Dividing one by the other gives 73%.
MEDICAL MUTUAL OF OHIO, contract 0147759-01. For the contract year on this filing, the carrier reported $63,445 in premium earned and $0 in claims incurred. Dividing one by the other gives 0%.
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC., contract 8877600. For the contract year on this filing, the carrier reported $44,838 in premium earned and $0 in claims incurred. Dividing one by the other gives 0%.
- DELTA DENTAL OF CONNECTICUT, INC., contract 04436 reported $398,564 in retention.
- VISION SERVICE PLAN, contract 30106400 reported $95,863 in retention.
- MEDICAL MUTUAL OF OHIO, contract 0147759-01 reported $1,589 in retention.
- KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC., contract 8877600 reported $1,121 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.
Reported to OSHA
Reported to OSHA for 2025: 575 employees, 11 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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