Form 5500 · Employee benefit plan · CULPEPER, VA
JEFFERSON HOMEBUILDERS INC
The filing calls this plan JEFFERSON HOMEBUILDERS INC EMPLOYEE WELFARE BENEFIT PLAN.
JEFFERSON HOMEBUILDERS INC of CULPEPER, VA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is INTEGRATED INSURANCE SOLUTIONS INC. Coverage is written through OPTUM HEALTH (UNIMERICA INSURANCE COMPANY) and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 54-0921816 · plan 501 · plan year 2024, filed Oct 15, 2025
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1,326 other employer plans in Virginia 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
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.
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 4 insured contracts covering health, dental and vision; the largest, with OPTUM HEALTH (UNIMERICA INSURANCE COMPANY), covers 384 people.
Reported premium across the insured contracts is $879,053, with $145,189 in disclosed broker commissions — about 17% 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.
INTEGRATED INSURANCE SOLUTIONS INC is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including OPTUM HEALTH (UNIMERICA INSURANCE COMPANY), ANTHEM HEALTH PLANS OF VIRGINIA, INC., CIGNA HEALTH AND LIFE INSURANCE COMPANY and THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA. OPTUM HEALTH (UNIMERICA INSURANCE COMPANY) writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| OPTUM HEALTH (UNIMERICA INSURANCE COMPANY) | Health | 384 | Jan 1, 2025 | $591,454 | $127,596 |
| ANTHEM HEALTH PLANS OF VIRGINIA, INC. | Dental | 371 | Jan 1, 2025 | $160,019 | $15,534 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Vision | 349 | Jan 1, 2025 | $41,177 | $2,059 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 384 | Jan 1, 2025 | $86,403 | $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. The service providers are named on Schedule C of this filing. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 23 employees, 0 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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Renewal calendar
1,326 other employer plans in Virginia are January 1 renewals (policy year ends December).
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