Form 5500 · Employee benefit plan · EVANSVILLE, IN
LEWIS BROTHERS BAKERIES, INC.
The filing calls this plan LEWIS BROTHERS BAKERIES, INC. EMPLOYEE BENEFIT PLAN.
LEWIS BROTHERS BAKERIES, INC. of EVANSVILLE, IN is a 799-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is HOUCHENS INSURANCE GROUP, INC.. Coverage is written through SYMETRA LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 37-0636783 · plan 502 · plan year 2025, filed Jan 16, 2026
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1,291 other employer plans in Indiana 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
Self-funded as reported
The filing reports benefits paid from the plan's own money, and no medical insurance contract on Schedule A.
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
One contract on this filing does not say which benefits it covers, so a line above may be insured by it.
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
Schedule A lists 3 insured contracts covering health and life; the largest, with SYMETRA LIFE INSURANCE COMPANY, covers 957 people.
The filing declares health, life, dental and vision. Dental and vision appear with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on the contract here that does not say what it covers.
Reported premium across the insured contracts is $112,963, with $50,672 in disclosed broker commissions — about 45% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in February. The plan is on a split renewal cycle.
HOUCHENS INSURANCE GROUP, INC. is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC. | Health | 686 | Jan 1, 2025 | — | $26,817 |
| SYMETRA LIFE INSURANCE COMPANY | Life | 957 | Mar 1, 2025 | $81,814 | $21,363 |
| UNITEDHEALTHCARE INSURANCE COMPANY | — | 1,671 | Jan 1, 2025 | $31,149 | $2,492 |
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
Named on Schedule C of this filing. We publish company names only.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
Other plans filed by this employer
How this plan compares
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Renewal calendar
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