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Form 5500 · Employee benefit plan · NEW CUMBERLAND, PA

ITERO GROUP, LLC

The filing calls this plan ITERO GROUP LLC HEALTH & WELFARE PLANS.

ITERO GROUP, LLC of NEW CUMBERLAND, PA is a small professional services employer whose insured group plan is on public record in its Form 5500 filing. Its broker of record is GUNN MOWERY LLC. Coverage is written through EVEREST REINSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in January.

Benefits broker of record
Policy year ends
Januaryas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 35-2603463 · plan 501 · plan year 2024, filed Aug 24, 2024

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How this plan is funded

Self-funded as reported

The filing reports benefits paid from the plan's own money, and no medical insurance contract on Schedule A.

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.

All participants at the start of the year
47
Active at start of year
43
Active at end of year
63
Disclosed commissions
$15,446
Typical renewal
February 1

Benefits declared on this filing

Healthdeclared, not on Schedule A
Dentalinsured — DELTA DENTAL OF PENNSYLVANIA44 of 47 participants (94%)
Visioninsured — VISION BENEFITS OF AMERICA36 of 47 participants (77%)
Lifeinsured — SUN LIFE ASSURANCE COMPANY OF CANADA63 of 47 participants
Disabilityinsured — SUN LIFE ASSURANCE COMPANY OF CANADA63 of 47 participants

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.

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 4 insured contracts covering dental, vision, life, disability and stop-loss; the largest, with EVEREST REINSURANCE COMPANY, covers 44 people.

The filing declares dental, vision, life, disability and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.

The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $208,324 in premium and $0 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.

Reported premium across the insured contracts is $329,075, with $15,446 in disclosed broker commissions — about 4.7% of premium.

The most recent policy period ended in January, and the plan year ends January 31. Group contracts typically renew on that annual cycle.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
SUN LIFE ASSURANCE COMPANY OF CANADALife, Disability63Feb 1, 2024$80,240$11,394
DELTA DENTAL OF PENNSYLVANIADental44Feb 1, 2024$34,726$3,473
VISION BENEFITS OF AMERICAVision36Feb 1, 2024$5,785$579
EVEREST REINSURANCE COMPANYStop-loss44Feb 1, 2024$208,324$0

Premium and claims on this contract

VISION BENEFITS OF AMERICA, contract 7402. For the contract year on this filing, the carrier reported $5,785 in premium earned and $2,329 in claims incurred. Dividing one by the other gives 40%.

  • VISION BENEFITS OF AMERICA, contract 7402 reported $3,457 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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
ITERO GROUP, LLC
EIN 35-2603463
CAPITAL BLUECROSS
Claims processing · EIN 23-0455154
$2,916
paid directly by the plan
CONNECTCARE3
PATIENT ADVOCATE · EIN 26-1768616
$1,985
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Money the plan held and paid out

Plan assets at year end
$174,655
Paid out in benefits
$474,471

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule I

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

Other plans filed by this employer

How this plan compares

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