Form 5500 · Employee benefit plan · FORT WAYNE, IN
INDIANA PHYSICAL THERAPY, INC.
The filing calls this plan INDIANA PHYSICAL THERAPY INC EMPLOYEE BENEFIT PLAN.
INDIANA PHYSICAL THERAPY, INC. of FORT WAYNE, IN files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HEALTH INSURANCE INC. Coverage is written through COMPANION LIFE INSURANCE COMPANY. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 35-1790012 · plan 501 · plan year 2025, filed Jan 21, 2026
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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
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
The filing discloses a single insured line, life, through COMPANION LIFE INSURANCE COMPANY, covering 116 people.
The filing declares life, health, dental and vision. Health, dental and vision appear with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $2,117, with $518 in disclosed broker commissions — about 24% of premium.
The most recent policy period ended in July, and the plan year ends July 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| COMPANION LIFE INSURANCE COMPANY | Life | 116 | Aug 1, 2025 | $2,117 | $518 |
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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