Form 5500 · Employee benefit plan · MERIDIAN, ID
JACKSONS FOOD STORES, INC.
The filing calls this plan JACKSONS EMPLOYEE BENEFIT PLAN.
JACKSONS FOOD STORES, INC. of MERIDIAN, ID is a 1,946-participant retail employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is ASSUREDPARTNERS. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 82-0364157 · plan 501 · plan year 2025, filed Jun 10, 2026
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354 other employer plans in Idaho 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
Both, as reported
The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.
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
Health: KAISER FOUNDATION HEALTH PLAN, INC. covers 97 of 1,946 participants (5%) on Schedule A.
Also declared: death benefits.
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 6 insured contracts covering health, dental, vision, life and disability; the largest, with UNITED OF OMAHA LIFE INSURANCE COMPANY, covers 3,025 people.
Reported premium across the insured contracts is $3,652,338, with $275,218 in disclosed broker commissions — about 7.5% 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.
ASSUREDPARTNERS is the broker of record on 3 of the 6 contracts; the rest name a different broker or none.
6 carriers appear on the filing, including UNITED OF OMAHA LIFE INSURANCE COMPANY, KAISER FOUNDATION HEALTH PLAN, INC., DELTA DENTAL OF IDAHO and ALPHA DENTAL PROGRAMS, INC.. UNITED OF OMAHA LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 3,025 | Jan 1, 2026 | $1,401,464 | $180,431 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 97 | Jan 1, 2026 | $749,442 | $37,371 |
| DELTA DENTAL OF IDAHO | Dental | 1,171 | Jan 1, 2026 | $659,745 | $35,950 |
| ALPHA DENTAL PROGRAMS, INC. | Dental | 830 | Jan 1, 2026 | $359,851 | $21,466 |
| AMERITAS LIFE INSURANCE CORP. | Vision | 4,140 | Jan 1, 2026 | $262,717 | $0 |
| WILLAMETTE DENTAL OF IDAHO, INC. | Dental | 411 | Jan 1, 2026 | $219,119 | $0 |
Premium and claims on these contracts
DELTA DENTAL OF IDAHO, contract 708. For the contract year on this filing, the carrier reported $659,745 in premium earned and $647,833 in claims incurred. Dividing one by the other gives 98%.
WILLAMETTE DENTAL OF IDAHO, INC., contract ID191. For the contract year on this filing, the carrier reported $219,119 in premium earned and $212,355 in claims incurred. Dividing one by the other gives 97%.
- DELTA DENTAL OF IDAHO, contract 708 reported $141,509 in retention.
- WILLAMETTE DENTAL OF IDAHO, INC., contract ID191 reported $19,857 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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 3,933 employees, 46 recordable cases, 672 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
One establishment filed under this EIN is left out of these figures: the hours and employees it reported could not both be right.
Other plans filed by this employer
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