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Form 5500 · Employee benefit plan · BOZEMAN, MT

EBP WEST CARE HEALTH AND WELFARE PLAN

The filing calls this plan WEST CARE HEALTH AND WELFARE PLAN.

Public Form 5500 records show how EBP WEST CARE HEALTH AND WELFARE PLAN of BOZEMAN, MT, a construction employer, structures its employee benefits. Coverage is written through STEALTH PARTNER GROUP and 2 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Not disclosed
Insurance carrier
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-0478880 · plan 501 · plan year 2024, filed Feb 3, 2026

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How this plan is funded

Self-funded as reported

The filing reports benefits paid from the plan's own money, and no medical insurance contract on Schedule A.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
1,002
Active at start of year
996
Active at end of year
1,065
Disclosed commissions
$0
Typical renewal
January 1

Benefits declared on this filing

Healthdeclared, no contract here says it covers this
Dentaldeclared, no contract here says it covers this
Visiondeclared, no contract here says it covers this
Lifeinsured — STANDARD INSURANCE COMPANY797 of 1,002 participants (80%)
Disabilityinsured — STANDARD INSURANCE COMPANY392 of 1,002 participants (39%)

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 life, disability and stop-loss; the largest, with STEALTH PARTNER GROUP, covers 1,517 people.

The filing declares life, disability, health, dental and vision. Health, dental and vision appear 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.

The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $32,021 in premium and $0 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.

Reported premium is $1,842,141; the filing discloses no broker commission on these contracts.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
STEALTH PARTNER GROUP—1,517Jan 1, 2025$1,279,724$0
STANDARD INSURANCE COMPANYDisability392Jan 1, 2025$283,158$0
STANDARD INSURANCE COMPANYLife797Jan 1, 2025$247,238$0
AETNA SIGNATURE ADMINISTRATORSStop-loss1,517Jan 1, 2025$32,021$0

Premium and claims on these contracts

STANDARD INSURANCE COMPANY, contract 602726. For the contract year on this filing, the carrier reported $264,350 in premium earned and $48,215 in claims incurred. Dividing one by the other gives 18%.

STANDARD INSURANCE COMPANY, contract 602726. For the contract year on this filing, the carrier reported $230,664 in premium earned and $5,683 in claims incurred. Dividing one by the other gives 2%.

  • STANDARD INSURANCE COMPANY, contract 602726 reported $216,139 in retention.
  • STANDARD INSURANCE COMPANY, contract 602726 reported $224,986 in retention.

Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.

Only experience-rated contracts report these figures, so most filings leave them blank.

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
EBP WEST CARE HEALTH AND WELFARE PLAN
EIN 81-0478880
EMPLOYEE BENEFIT MANAGEMENT SVCS.
CLAIMS ADMINISTRATION · EIN 81-0391256
$284,502
paid directly by the plan
EMPLOYEE BENEFIT MANAGEMENT SVCS.
Contract administrator · EIN 81-0391256
$121,399
paid directly by the plan

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.

Money the plan held and paid out

Plan assets at year end
$14,854,657
Paid out in benefits
$7,740,498
Paid to insurance carriersSchedule H, line 2e(2)
$1,820,177
Independent accountantEIN 45-0250958
EIDE BAILLY LLP
Accountant's opinion (Schedule H, line 3a)
Unmodified

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

How this plan compares

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