form5500lookup

Form 5500 · Employee benefit plan · WEST JORDAN, UT

CYPRUS FEDERAL CREDIT UNION

The filing calls this plan GROUP HEALTH PLAN.

CYPRUS FEDERAL CREDIT UNION of WEST JORDAN, UT files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is PCF ENCORE BENEFITS/GARY LEE FISCHE. Coverage is written through EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC and 1 other carrier. 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 87-0127320 · plan 503 · plan year 2024, filed Jun 12, 2025

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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
248
Active at start of year
248
Active at end of year
256
Disclosed commissions
$156,026
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC517 of 248 participants
Dentalinsured — EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC584 of 248 participants
Visioninsured — VISION SERVICE PLAN513 of 248 participants
Lifedeclared under plan 502
Disabilitydeclared under plan 502

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 health, dental and vision; the largest, with EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC, covers 517 people.

Reported premium across the insured contracts is $3,835,665, with $156,026 in disclosed broker commissions — about 4.1% 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.

PCF ENCORE BENEFITS/GARY LEE FISCHE is the broker of record on all 4 contracts.

Two carriers split the book: EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC and VISION SERVICE PLAN.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INCHealth517Jan 1, 2025$3,575,692$143,028
EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INCDental584Jan 1, 2032$215,055$10,752
VISION SERVICE PLANVision513Jan 1, 2025$44,918$2,246
EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC—25Jan 1, 2025—$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
CYPRUS FEDERAL CREDIT UNION
EIN 87-0127320

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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