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Form 5500 · Employee benefit plan · ATLANTA, GA

CROWN HEALTHCARE INVESTMENTS, LLC DBA MEDCARE SOUTH

The filing calls this plan MEDCARE SOUTH HEALTH AND WELFARE BENEFIT PLAN.

CROWN HEALTHCARE INVESTMENTS, LLC DBA MEDCARE SOUTH of ATLANTA, GA spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is MARSH & MCLENNAN AGENCY LLC. Coverage is written through HARTFORD LIFE AND ACCIDENT and 3 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 20-1353960 · plan 501 · plan year 2024, filed Jul 11, 2025

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How this plan is funded

Funding not settled by the filing

The filing does not report enough to settle how this plan pays for benefits.

All participants at the start of the year
149
Active at start of year
149
Active at end of year
18
Disclosed commissions
$3,299
Typical renewal
January 1

Benefits declared on this filing

Healthdeclared, no contract here says it covers this
Dentalinsured — DELTA DENTAL INSURANCE COMPANY418 of 149 participants
Visioninsured — VISION SERVICE PLAN4 of 149 participants (2.7%)
Lifeinsured — HARTFORD LIFE AND ACCIDENT21 of 149 participants (14%)
Disabilityinsured — HARTFORD LIFE AND ACCIDENT21 of 149 participants (14%)

Vision: VISION SERVICE PLAN covers 4 of 149 participants (2.7%) on Schedule A.

One contract on this filing does not say which benefits it covers, so a line above may be insured by it.

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 4 insured contracts covering dental, vision, life and disability.

The filing declares dental, vision, life, disability and health. Health 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 the contract here that does not say what it covers.

Reported premium across the insured contracts is $45,660, with $3,299 in disclosed broker commissions — about 7.2% 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.

MARSH & MCLENNAN AGENCY LLC is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
HARTFORD LIFE AND ACCIDENTLife, Disability21Jan 1, 2025$28,433$2,296
DELTA DENTAL INSURANCE COMPANYDental418Aug 1, 2024$12,805$490
VISION SERVICE PLANVision4Jan 1, 2025$3,512$448
ALLSTATE BENEFITS—1Jan 1, 2025$910$65

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
CROWN HEALTHCARE INVESTMENTS, LLC DBA MEDCARE SOUTH
EIN 20-1353960

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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