Form 5500 · Employee benefit plan · HAINESPORT, NJ
LEGACY TREATMENT SERVICES, INC.
The filing calls this plan LEGACY TREATMENT SERVICES, INC. DENTAL PLAN.
Public Form 5500 records show how LEGACY TREATMENT SERVICES, INC. of HAINESPORT, NJ, a health care and social assistance employer, structures its employee benefits. Its broker of record is BLADE BENEFIT CONSULTING. Coverage is written through DELTA DENTAL OF NEW JERSEY, INC.. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 21-0638161 · plan 502 · plan year 2024, filed Oct 10, 2025
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1,512 other employer plans in New Jersey 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.
The filing carries code 4S: this plan is filing again after previously being exempt.
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.
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
The filing discloses a single insured line, dental, through DELTA DENTAL OF NEW JERSEY, INC., covering 541 people.
Reported premium across the insured contracts is $205,162, with $5,089 in disclosed broker commissions — about 2.5% 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.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DELTA DENTAL OF NEW JERSEY, INC. | Dental | 541 | Jan 1, 2025 | $205,162 | $5,089 |
Premium and claims on this contract
DELTA DENTAL OF NEW JERSEY, INC., contract 09455. For the contract year on this filing, the carrier reported $205,162 in premium earned and $181,857 in claims incurred. Dividing one by the other gives 89%.
- DELTA DENTAL OF NEW JERSEY, INC., contract 09455 reported $38,263 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: 622 employees, 20 recordable cases, 209 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
1,512 other employer plans in New Jersey are January 1 renewals (policy year ends December).
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