Form 5500 · Employee benefit plan · FORT WORTH, TX
COOK CHILDRENS HEALTH CARE SYSTEM
The filing calls this plan COOK CHILDREN'S HEALTH CARE SYSTEM WELFARE BENEFIT PLAN.
COOK CHILDRENS HEALTH CARE SYSTEM of FORT WORTH, TX files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is CHILD HEALTH CORP OF AMERICA. Coverage is written through SECURIAN LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 75-2705881 · plan 504 · plan year 2025, filed Jun 17, 2026
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333 other employer plans in Texas have policy years ending in September. 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: 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 5 insured contracts covering health, dental, vision, life and disability; the largest, with SECURIAN LIFE INSURANCE COMPANY, covers 9,836 people.
Reported premium across the insured contracts is $7,634,781, with $271,493 in disclosed broker commissions — about 3.6% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
CHILD HEALTH CORP OF AMERICA is the broker of record on 2 of the 5 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including SECURIAN LIFE INSURANCE COMPANY, HARTFORD LIFE AND ACCIDENT, METROPOLITAN LIFE INSURANCE COMPANY and SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION. SECURIAN LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SECURIAN LIFE INSURANCE COMPANY | — | 9,836 | Oct 1, 2025 | $2,807,913 | $112,317 |
| HARTFORD LIFE AND ACCIDENT | Disability | 10,220 | Oct 1, 2025 | $2,196,074 | $92,557 |
| SECURIAN LIFE INSURANCE COMPANY | Life | 8,955 | Oct 1, 2025 | $1,665,465 | $66,619 |
| METROPOLITAN LIFE INSURANCE COMPANY | Vision | 19,427 | Oct 1, 2025 | $962,956 | $0 |
| SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | Health, Dental | 0 | Oct 1, 2025 | $2,373 | $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.
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.
Other plans filed by this employer
How this plan compares
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Renewal calendar
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