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Form 5500 · Employee benefit plan · NEWBURGH, IN

ENERGY SYSTEMS GROUP, LLC

The filing calls this plan ENERGY SYSTEMS GROUP HEALTH & WELFARE BENEFITS PLAN.

ENERGY SYSTEMS GROUP, LLC of NEWBURGH, IN spreads its employee benefits across 5 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is LOCKTON COMPANIES, LLC. Coverage is written through ANTHEM INSURANCE COMPANIES, INC. and 4 other carriers. The plan's most recent policy period ended in December.

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

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 35-2017952 · plan 501 · plan year 2025, filed Jul 15, 2026

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1,291 other employer plans in Indiana have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

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
321
Active at start of year
312
Active at end of year
385
Disclosed commissions
$227,888
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — ANTHEM INSURANCE COMPANIES, INC.635 of 321 participants on the largest contract
Dentalinsured — DELTA DENTAL OF INDIANA868 of 321 participants
Visioninsured — VISION SERVICE PLAN325 of 321 participants
Lifeinsured — LIFE INSURANCE COMPANY OF NORTH AMERICA385 of 321 participants
Disabilityinsured — LIFE INSURANCE COMPANY OF NORTH AMERICA385 of 321 participants

Also declared: death benefits, 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 5 insured contracts covering health, dental, vision, life and disability; the largest, with ANTHEM INSURANCE COMPANIES, INC., covers 635 people.

Reported premium across the insured contracts is $5,989,667, with $227,888 in disclosed broker commissions — about 3.8% of premium.

The health contract's policy period ended in December, while at least one ancillary line's policy period ended in June. The plan is on a split renewal cycle.

LOCKTON COMPANIES, LLC is the broker of record on 4 of the 5 contracts; the rest name a different broker or none.

5 carriers appear on the filing, including ANTHEM INSURANCE COMPANIES, INC., DELTA DENTAL OF INDIANA, LIFE INSURANCE COMPANY OF NORTH AMERICA and VISION SERVICE PLAN. ANTHEM INSURANCE COMPANIES, INC. writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
ANTHEM INSURANCE COMPANIES, INC.Health635Jan 1, 2026$5,203,797$138,801
LIFE INSURANCE COMPANY OF NORTH AMERICALife, Disability385Jul 1, 2025$337,233$50,585
DELTA DENTAL OF INDIANAHealth, Dental868Jan 1, 2026$366,594$35,950
VISION SERVICE PLANVision325Jan 1, 2026$72,085$2,268
HEALTH BENEFIT PARTNERS INSURANCE SOLUTIONS, INC.Health1Jan 1, 2026$9,958$284

Premium and claims on this contract

DELTA DENTAL OF INDIANA, contract 10385. For the contract year on this filing, the carrier reported $366,594 in premium earned and $340,231 in claims incurred. Dividing one by the other gives 93%.

  • DELTA DENTAL OF INDIANA, contract 10385 reported $37,027 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
ENERGY SYSTEMS GROUP, LLC
EIN 35-2017952

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 401 employees, 3 recordable cases, 39 days away from work.

EmployeesThe company's own average for the year
401
Hours worked
725,719
Recordable cases
3
Days away from work
39
Establishments filed under this EIN
2

Source: OSHA Injury Tracking Application establishment data, 2025.

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Renewal calendar

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