Form 5500 · Employee benefit plan · WATERBURY, VT
KORE POWER
The filing calls this plan KORE POWER, INC. EMPLOYEE BENEFIT PLAN.
KORE POWER of WATERBURY, VT insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is MICHELLE STOUDT. Coverage is written through BLUE CROSS OF IDAHO and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 37-1899580 · plan 501 · plan year 2025, filed Jun 10, 2026
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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.
Benefits declared on this filing
Also declared: death benefits, 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 3 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS OF IDAHO, covers 133 people.
Reported premium across the insured contracts is $1,134,755, with $34,194 in disclosed broker commissions — about 3% 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.
MICHELLE STOUDT is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including BLUE CROSS OF IDAHO, STANDARD INSURANCE COMPANY and DELTA DENTAL OF IDAHO. BLUE CROSS OF IDAHO writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS OF IDAHO | Health | 133 | Jan 1, 2026 | $982,425 | $26,036 |
| STANDARD INSURANCE COMPANY | Health, Vision, Life, Disability | 87 | Jan 1, 2026 | $88,771 | $6,056 |
| DELTA DENTAL OF IDAHO | Dental | 67 | Jan 1, 2026 | $63,559 | $2,102 |
Premium and claims on these contracts
BLUE CROSS OF IDAHO, contract 10037574. For the contract year on this filing, the carrier reported $982,425 in premium earned and $1,151,203 in claims incurred. Dividing one by the other gives 117%.
DELTA DENTAL OF IDAHO, contract 4830. For the contract year on this filing, the carrier reported $62,948 in premium earned and $47,255 in claims incurred. Dividing one by the other gives 75%.
- BLUE CROSS OF IDAHO, contract 10037574 reported $93,330 in retention.
- DELTA DENTAL OF IDAHO, contract 4830 reported $11,544 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.
Other plans filed by this employer
How this plan compares
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