Form 5500 · Employee benefit plan · SHREVEPORT, LA
HOLY ANGELS RESIDENTIAL FACILITY
The filing calls this plan HOLY ANGELS RESIDENTIAL FACILITY EMPLOYEE BENEFITS PLAN.
HOLY ANGELS RESIDENTIAL FACILITY of SHREVEPORT, LA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is FAIRWAY PARTNERS, LLC. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 72-0628035 · plan 502 · plan year 2025, filed Oct 30, 2025
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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.
Benefits declared on this filing
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 9 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 89 people.
Reported premium across the insured contracts is $1,229,366, with $93,340 in disclosed broker commissions — about 7.6% 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.
FAIRWAY PARTNERS, LLC is the broker of record on 1 of the 9 contracts; the rest name a different broker or none.
Two carriers split the book: UNITEDHEALTHCARE INSURANCE COMPANY and UNITED OF OMAHA LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 89 | Jul 1, 2025 | $1,035,973 | $67,384 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 80 | Jul 1, 2025 | $44,038 | $6,606 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 97 | Jul 1, 2025 | $38,255 | $5,738 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Dental | 126 | Jul 1, 2025 | $52,510 | $5,251 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 45 | Jul 1, 2025 | $26,592 | $3,989 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 225 | Jul 1, 2025 | $11,655 | $1,748 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 31 | Jul 1, 2025 | $6,379 | $957 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Vision | 91 | Jul 1, 2025 | $8,567 | $857 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 26 | Jul 1, 2025 | $5,397 | $810 |
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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