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Form 5500 · Employee benefit plan · BLUE ASH, OH

ENERVISE LLC

ENERVISE LLC of BLUE ASH, OH files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is PATRIOT GROWTH INSURANCE SVCS LLC. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY. 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 26-1394367 · plan 501 · plan year 2025, filed Sep 9, 2026

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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
108
Active at start of year
108
Active at end of year
119
Disclosed commissions
$20,336
Typical renewal
January 1

Benefits declared on this filing

Healthnot declared on this filing
Dentalnot declared on this filing
Visionnot declared on this filing
Lifeinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY63 of 108 participants (58%) on the largest contract
Disabilityinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY119 of 108 participants on the largest contract

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 6 insured contracts covering life and disability; the largest, with UNITED OF OMAHA LIFE INSURANCE COMPANY, covers 119 people.

Reported premium across the insured contracts is $138,964, with $20,336 in disclosed broker commissions — about 15% 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.

PATRIOT GROWTH INSURANCE SVCS LLC is the broker of record on all 6 contracts.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability119Jan 1, 2026$46,048$6,907
UNITED OF OMAHA LIFE INSURANCE COMPANYLife63Jan 1, 2026$38,463$5,261
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability99Jan 1, 2026$27,045$4,057
UNITED OF OMAHA LIFE INSURANCE COMPANY—37Jan 1, 2026$10,870$1,630
UNITED OF OMAHA LIFE INSURANCE COMPANY—41Jan 1, 2026$10,363$1,554
UNITED OF OMAHA LIFE INSURANCE COMPANYLife119Jan 1, 2026$6,175$927

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
ENERVISE LLC
EIN 26-1394367

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

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