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Form 5500 · Employee benefit plan · MOOREFIELD, WV

BURKE & HERBERT FINANCIAL SERVICES CORP.

The filing calls this plan BURKE & HERBERT FINANCIAL SERVICES CORP. EMPLOYEE BENEFITS PLAN.

BURKE & HERBERT FINANCIAL SERVICES CORP. of MOOREFIELD, WV files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is THE HILB GROUP OF MD, INC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 5 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 92-0289417 · plan 503 · plan year 2024, filed Jul 16, 2025

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

135 other employer plans in West Virginia 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.

All participants at the start of the year
515
Active at start of year
515
Active at end of year
0
Disclosed commissions
$36,728
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY350 of 515 participants (68%) on the largest contract
Dentaldeclared, no contract here says it covers this
Visioninsured — VISION SERVICE PLAN380 of 515 participants (74%)
Lifeinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY519 of 515 participants on the largest contract
Disabilityinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY470 of 515 participants (91%)

2 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.

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 9 insured contracts covering health, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 350 people.

The filing declares health, vision, life, disability and dental. Dental appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 2 contracts here that do not say what they cover.

Reported premium across the insured contracts is $7,055,100, with $36,728 in disclosed broker commissions — about 0.5% of premium.

The health contract's policy period ended in December, while at least one ancillary line's policy period ended in September. The plan is on a split renewal cycle.

THE HILB GROUP OF MD, INC is the broker of record on 2 of the 9 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
AMERICAN HERITAGE LIFE INSURANCE COMPANYLife93Jan 1, 2025$61,808$10,264
UNITED OF OMAHA LIFE INSURANCE COMPANYLife159Jan 1, 2025$71,921$7,192
UNITED OF OMAHA LIFE INSURANCE COMPANYLife519Jan 1, 2025$142,069$5,683
VISION SERVICE PLANVision380Jan 1, 2025$52,232$5,227
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability470Jan 1, 2025$50,870$5,087
AMERICAN HERITAGE LIFE INSURANCE COMPANY—73Jan 1, 2025$31,249$3,275
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth350Jan 1, 2025$6,602,336$0
HIGHMARK INC.Health15Jan 1, 2025$28,710$0
ESI EMPLOYEE ASSISTANCE GROUP—515Oct 1, 2024$13,905$0

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
BURKE & HERBERT FINANCIAL SERVICES CORP.
EIN 92-0289417

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

How this plan compares

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Renewal calendar

135 other employer plans in West Virginia are January 1 renewals (policy year ends December).

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