Form 5500 · Employee benefit plan · ZIEGLERVILLE, PA
FREDERICK MENNONITE COMMUNITY
The filing calls this plan FREDERICK MENNONITE COMMUNITY EMPLOYEE BENEFIT PLAN.
FREDERICK MENNONITE COMMUNITY of ZIEGLERVILLE, PA is a 138-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is TRION GROUP, A MARSH & MCLENNAN. Coverage is written through LIFE INSURANCE COMPANY OF NORTH AMERICA and 1 other carrier. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-1382402 · plan 501 · plan year 2024, filed Jun 30, 2025
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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.
Benefits declared on this filing
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.
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 dental, life and disability.
The filing declares dental, life, disability and vision. Vision appears 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.
Reported premium across the insured contracts is $96,751, with $11,863 in disclosed broker commissions — about 12% of premium.
The most recent policy period ended in June, and the plan year ends November 30. Group contracts typically renew on that annual cycle.
TRION GROUP, A MARSH & MCLENNAN is the broker of record on 4 of the 5 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 0 | Jul 1, 2024 | $39,330 | $4,636 |
| DELTA DENTAL OF PENNSYLVANIA | Dental | 0 | Jul 1, 2024 | $35,783 | $3,579 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 0 | Jul 1, 2024 | $14,014 | $2,364 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 0 | Jul 1, 2024 | $6,508 | $1,096 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 0 | Jul 1, 2024 | $1,116 | $188 |
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.
Other plans filed by this employer
How this plan compares
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