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Form 5500 · Employee benefit plan · CHAMBERSBURG, PA

FOLIUM, INC.

The filing calls this plan FOLIUM, INC. CAFETERIA BENEFITS PLAN.

FOLIUM, INC. of CHAMBERSBURG, PA spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is STRICKLER AGENCY INC. Coverage is written through HM LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in June.

Benefits broker of record
Insurance carrier
Policy year ends
Juneas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-2205138 · plan 501 · plan year 2025, filed Apr 16, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

629 other employer plans in Pennsylvania have policy years ending in June. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

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
304
Active at start of year
304
Active at end of year
330
Disclosed commissions
$24,554
Typical renewal
July 1

Benefits declared on this filing

Healthdeclared, no contract here says it covers this
Dentaldeclared, no contract here says it covers this
Visioninsured — CAPITAL ADVANTAGE ASSURANCE COMPANY
Lifeinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY330 of 304 participants
Disabilityinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY136 of 304 participants (45%) on the largest contract

2 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.

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 7 insured contracts covering vision, life, disability and stop-loss; the largest, with HM LIFE INSURANCE COMPANY, covers 240 people.

The filing declares vision, life, disability, health and dental. Health and dental 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 one of the 2 contracts here that do not say what they cover.

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 $887,686 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 across the insured contracts is $1,067,987, with $24,554 in disclosed broker commissions — about 2.3% of premium.

The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability136Jul 1, 2025$67,468$10,120
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability330Jul 1, 2025$38,978$5,262
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY—128Jul 1, 2025$26,958$4,044
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife330Jul 1, 2025$24,510$2,696
ALLYHEALTH LLC—407Jul 1, 2025$22,387$2,432
HM LIFE INSURANCE COMPANYStop-loss240Jul 1, 2025$887,686$0
CAPITAL ADVANTAGE ASSURANCE COMPANYVision0Jul 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
FOLIUM, INC.
EIN 23-2205138
CAPITAL BLUE CROSS
Claims processing · EIN 23-0455154
$177,858
paid directly by the plan
UNITED CONCORDIA DENTAL
Claims processing · EIN 23-1661402
$23,978
paid directly by the plan
CONNECTCARE3
PATIENT ADVOCATE · EIN 26-1768616
$15,633
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
$1,355,368
Paid out in benefits
$4,089,486
Paid to insurance carriersSchedule H, line 2e(2)
$1,087,558
Independent accountantEIN 52-0783935
SMITH ELLIOTT KEARNS & COMPANY, LLC
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.

Other plans filed by this employer

How this plan compares

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Renewal calendar

629 other employer plans in Pennsylvania are July 1 renewals (policy year ends June).

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