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Form 5500 · Employee benefit plan · STAFFORD, TX

ELLEN LIGHTING

The filing calls this plan ELLEN LIGHTING WRAP PLAN.

ELLEN LIGHTING of STAFFORD, TX files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is ANCO INS. SVCS. OF BRYAN/C.S.. Coverage is written through BLUECROSS BLUESHIELD OF TEXAS and 1 other carrier. The plan's most recent policy period ended in May.

Benefits broker of record
Policy year ends
Mayas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 76-0274100 · plan 501 · plan year 2025, filed Dec 31, 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
114
Active at start of year
114
Active at end of year
113
Disclosed commissions
$53,753
Typical renewal
June 1

Benefits declared on this filing

Healthinsured — BLUECROSS BLUESHIELD OF TEXAS143 of 114 participants on the largest contract
Dentalinsured — PRINCIPAL LIFE INSURANCE COMPANY188 of 114 participants
Visioninsured — PRINCIPAL LIFE INSURANCE COMPANY188 of 114 participants
Lifeinsured — PRINCIPAL LIFE INSURANCE COMPANY188 of 114 participants
Disabilityinsured — PRINCIPAL LIFE INSURANCE COMPANY188 of 114 participants

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.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

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 2 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF TEXAS, covers 143 people.

Reported premium across the insured contracts is $904,684, with $53,753 in disclosed broker commissions — about 5.9% of premium.

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

ANCO INS. SVCS. OF BRYAN/C.S. is the broker of record on all 2 contracts.

Two carriers split the book: BLUECROSS BLUESHIELD OF TEXAS and PRINCIPAL LIFE INSURANCE COMPANY.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
BLUECROSS BLUESHIELD OF TEXASHealth143Jun 1, 2025$795,539$38,520
PRINCIPAL LIFE INSURANCE COMPANYHealth, Dental, Vision, Life, Disability188Jun 1, 2025$109,145$15,233

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

Other plans filed by this employer

How this plan compares

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