Form 5500 · Employee benefit plan · WASHINGTON, DC
GEORGETOWN UNIVERSITY
The filing calls this plan GEORGETOWN UNIVERSITY WELFARE AND FRINGE BENEFIT PLAN.
GEORGETOWN UNIVERSITY of WASHINGTON, DC files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is PENTRA, LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. and 10 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 53-0196603 · plan 516 · plan year 2024, filed Oct 15, 2025
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380 other employer plans in District of Columbia 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.
Benefits declared on this filing
Vision: the largest of the 7 insured vision contracts, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 498 of 7,792 participants (6.4%) on Schedule A.
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 22 insured contracts covering health, dental, vision, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC., covers 2,977 people.
Reported premium across the insured contracts is $29,530,664, with $687,914 in disclosed broker commissions — about 2.3% 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.
PENTRA, LLC is the broker of record on 4 of the 22 contracts; the rest name a different broker or none.
11 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC., DELTA DENTAL OF DISTRICT OF COLUMBIA, METROPOLITAN LIFE INSURANCE COMPANY and CIGNA HEALTH AND LIFE INSURANCE COMPANY. KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| METROPOLITAN LIFE INSURANCE COMPANY | Disability | 5,569 | Jan 1, 2025 | $2,123,517 | $191,094 |
| METROPOLITAN LIFE INSURANCE COMPANY | Life | 1,396 | Jan 1, 2025 | $1,828,716 | $166,222 |
| DELTA DENTAL OF DISTRICT OF COLUMBIA | Dental | 6,559 | Jan 1, 2025 | $2,920,951 | $87,629 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental, Vision | 498 | Jan 1, 2025 | $1,919,621 | $48,543 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 911 | Jan 1, 2025 | $297,199 | $44,316 |
| METROPOLITAN LIFE INSURANCE COMPANY | Life | 7,457 | Jan 1, 2025 | $373,013 | $33,923 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 518 | Jan 1, 2025 | $143,794 | $28,084 |
| METROPOLITAN LIFE INSURANCE COMPANY | Life | 6,896 | Jan 1, 2025 | $225,726 | $20,499 |
| EYEMED VISION CARE | Vision | 4,402 | Jan 1, 2025 | $314,098 | $16,931 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 1,217 | Jan 1, 2025 | $108,075 | $16,096 |
| METLIFE LEGAL PLANS | — | 688 | Jan 1, 2025 | $155,418 | $14,439 |
| AETNA LIFE INSURANCE COMPANY | Dental | 1,855 | Jan 1, 2025 | $342,478 | $10,347 |
| DELAWARE AMERICAN LIFE INSURANCE OF AMERICA | Disability | 202 | Jan 1, 2025 | $141,027 | $3,568 |
| HARTFORD FIRE INSURANCE COMPANY | — | 7,834 | Jan 1, 2025 | $18,842 | $2,826 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Disability | 842 | Jan 1, 2025 | $17,600 | $2,510 |
| EYEMED VISION CARE | Vision | 162 | Jan 1, 2025 | $11,761 | $631 |
| EYEMED VISION CARE | Vision | 36 | Jan 1, 2025 | $2,227 | $117 |
| EYEMED VISION CARE | Vision | 37 | Jan 1, 2025 | $2,169 | $104 |
| EYEMED VISION CARE | Vision | 6 | Jan 1, 2025 | $472 | $26 |
| EYEMED VISION CARE | Vision | 2 | Jan 1, 2025 | $180 | $9 |
| KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. | Health | 2,977 | Jan 1, 2025 | $18,299,256 | $0 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Dental | 792 | Jan 1, 2025 | $284,524 | $0 |
Premium and claims on these contracts
METROPOLITAN LIFE INSURANCE COMPANY, contract 0123670. For the contract year on this filing, the carrier reported $1,823,797 in premium earned and $2,224,882 in claims incurred. Dividing one by the other gives 122%.
METROPOLITAN LIFE INSURANCE COMPANY, contract 0123529. For the contract year on this filing, the carrier reported $373,013 in premium earned and $566,759 in claims incurred. Dividing one by the other gives 152%.
- METROPOLITAN LIFE INSURANCE COMPANY, contract 0123670 reported $-401,085 in retention.
- METROPOLITAN LIFE INSURANCE COMPANY, contract 0123529 reported $-193,745 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.
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