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Form 5500 · Employee benefit plan · EASTON, PA

KOCH HOLDINGS, INC.

The filing calls this plan KOCH HOLDINGS WELFARE BENEFIT PLAN.

KOCH HOLDINGS, INC. of EASTON, PA spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is CREATIVE BENEFITS INC. Coverage is written through HIGHMARK INC. and 2 other carriers. The plan's most recent policy period ended in October.

Benefits broker of record
Insurance carrier
Policy year ends
Octoberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-2771501 · plan 501 · plan year 2025, filed Jan 23, 2026

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103 other employer plans in Pennsylvania have policy years ending in October. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

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.

All participants at the start of the year
326
Active at start of year
326
Active at end of year
355
Disclosed commissions
$194,372
Typical renewal
November 1

Benefits declared on this filing

Healthinsured — HIGHMARK INC.355 of 326 participants
Dentalinsured — HIGHMARK INC.355 of 326 participants
Visioninsured — SUN LIFE ASSURANCE COMPANY OF CANADA361 of 326 participants
Lifeinsured — SUN LIFE ASSURANCE COMPANY OF CANADA158 of 326 participants (48%) on the largest contract
Disabilityinsured — SUN LIFE ASSURANCE COMPANY OF CANADA158 of 326 participants (48%)

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 7 insured contracts covering health, dental, vision, life and disability; the largest, with HIGHMARK INC., covers 355 people.

Reported premium across the insured contracts is $5,026,223, with $194,372 in disclosed broker commissions — about 3.9% of premium.

The health contract's policy period ended in October, while at least one ancillary line's policy period ended in January. The plan is on a split renewal cycle.

CREATIVE BENEFITS INC is the broker of record on 3 of the 7 contracts; the rest name a different broker or none.

3 carriers appear on the filing, including HIGHMARK INC., SUN LIFE ASSURANCE COMPANY OF CANADA and TRUSTMARK INSURANCE COMPANY. HIGHMARK INC. writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
HIGHMARK INC.Health, Dental355Nov 1, 2025$4,532,792$126,675
SUN LIFE ASSURANCE COMPANY OF CANADALife, Disability158Nov 1, 2025$336,076$40,316
TRUSTMARK INSURANCE COMPANYLife52Feb 1, 2025$43,715$9,024
TRUSTMARK INSURANCE COMPANY—148Feb 1, 2025$40,321$8,099
TRUSTMARK INSURANCE COMPANY—58Feb 1, 2025$28,742$5,034
TRUSTMARK INSURANCE COMPANY—62Feb 1, 2025$25,442$4,268
SUN LIFE ASSURANCE COMPANY OF CANADAVision361Nov 1, 2025$19,135$956

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
KOCH HOLDINGS, INC.
EIN 23-2771501

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 313 employees, 11 recordable cases, 17 days away from work.

EmployeesThe company's own average for the year
313
Hours worked
683,988
Recordable cases
11
Days away from work
17

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

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Renewal calendar

103 other employer plans in Pennsylvania are November 1 renewals (policy year ends October).

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