Form 5500 · Employee benefit plan · TROY, MI
BOARD OF TRUSTEES IN/KY/OH RGNL COUNCIL OF CARPENTERS WELFARE FUND
The filing calls this plan IN/KY/OH RGNL COUNCIL OF CARPENTERS WELFARE FUND.
BOARD OF TRUSTEES IN/KY/OH RGNL COUNCIL OF CARPENTERS WELFARE FUND of TROY, MI insures health, vision and life coverage for its employees, per Schedule A of its Form 5500. Coverage is written through INDEPENDENCE ADMINISTRATORS and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 35-6042362 · plan 501 · plan year 2024, filed Oct 24, 2025
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How this plan is funded
Self-funded as reported
The plan's financial statement reports paying insurance carriers far less than the premium on its insurance contracts, so most benefits were paid from plan money.
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.
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 3 insured contracts covering health, vision and life; the largest, with INDEPENDENCE ADMINISTRATORS, covers 13,633 people.
The filing declares health, vision, life, dental and disability. Dental and disability appear with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium is $126,839,900; 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.
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.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| INDEPENDENCE ADMINISTRATORS | Health | 13,633 | Jan 1, 2025 | $124,883,014 | $0 |
| VISION SERVICE PLAN | Vision | 13,866 | Jan 1, 2025 | $1,168,988 | $0 |
| ANTHEM LIFE INSURANCE COMPANY | Life | 38,653 | Jan 1, 2025 | $787,898 | $0 |
Premium and claims on these contracts
INDEPENDENCE ADMINISTRATORS, contract AG000863. For the contract year on this filing, the carrier reported $124,883,014 in premium earned and $120,711,209 in claims incurred. Dividing one by the other gives 97%.
VISION SERVICE PLAN, contract 09112792. For the contract year on this filing, the carrier reported $1,168,988 in premium earned and $1,027,877 in claims incurred. Dividing one by the other gives 88%.
- INDEPENDENCE ADMINISTRATORS, contract AG000863 reported $4,171,804 in retention.
- VISION SERVICE PLAN, contract 09112792 reported $141,111 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.
How this plan compares
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