Form 5500 · Employee benefit plan · OGDEN, UT
HAWX SERVICES, LLC
The filing calls this plan HAWX SERVICES, LLC EMPLOYEE BENEFIT PLAN.
HAWX SERVICES, LLC of OGDEN, UT files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Coverage is written through GERBER LIFE INSURANCE COMPANY. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 82-3477698 · plan 502 · plan year 2023, filed Jul 26, 2024
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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.
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.
Benefits declared on this filing
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.
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 1 insured contract covering health and stop-loss; the largest, with GERBER LIFE INSURANCE COMPANY, covers 269 people.
The filing lists a stop-loss contract. On its own that does not settle whether the plan pays its own claims.
Reported premium is $456,482; the filing discloses no broker commission on these contracts.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| GERBER LIFE INSURANCE COMPANY | Health, Stop-loss | 269 | Jan 1, 2024 | $456,482 | $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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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