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Form 5500 · Employee benefit plan · BRIDGEPORT, TX

CRISP INDUSTRIES

The filing calls this plan CRISP INDUSTRIES HEALTH AND WELFARE PLAN.

CRISP INDUSTRIES of BRIDGEPORT, TX insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is BRADY CHAPMAN HOLLAND & ASSOC. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2023

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 75-2297703 · plan 501 · plan year 2023, filed Jun 3, 2024

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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
109
Active at start of year
108
Active at end of year
128
Disclosed commissions
$16,768
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — UNITEDHEALTHCARE INSURANCE COMPANY138 of 109 participants
Dentalinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA104 of 109 participants (95%)
Visioninsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA104 of 109 participants (95%)
Lifeinsured — HARTFORD LIFE AND ACCIDENT128 of 109 participants
Disabilityinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA104 of 109 participants (95%)

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 3 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 138 people.

Reported premium across the insured contracts is $779,744, with $16,768 in disclosed broker commissions — about 2.2% 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.

BRADY CHAPMAN HOLLAND & ASSOC is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.

3 carriers appear on the filing, including UNITEDHEALTHCARE INSURANCE COMPANY, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and HARTFORD LIFE AND ACCIDENT. UNITEDHEALTHCARE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICADental, Vision, Disability104Jan 1, 2024$98,741$13,041
HARTFORD LIFE AND ACCIDENTLife128Jan 1, 2024$24,844$3,727
UNITEDHEALTHCARE INSURANCE COMPANYHealth138Jan 1, 2024$656,159$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
CRISP INDUSTRIES
EIN 75-2297703

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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