Form 5500 · Employee benefit plan · BATON ROUGE, LA
LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY
The filing calls this plan LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY WELFARE BENEFIT PLAN.
LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY of BATON ROUGE, LA is a 3,318-participant finance and insurance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is SOUTHERN NATIONAL LIFE INSURANCE CO. Coverage is written through BLUE CROSS AND BLUE SHIELD OF LOUISIANA and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-7384555 · plan 550 · plan year 2025, filed Jul 23, 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
Vision: the largest of the 2 insured vision contracts, with BLUE CROSS AND BLUE SHIELD OF LOUISIANA, covers 179 of 3,318 participants (5.4%) on Schedule A.
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 5 insured contracts covering health, dental, vision and life; the largest, with BLUE CROSS AND BLUE SHIELD OF LOUISIANA, covers 5,686 people.
Reported premium is $56,836,307; the filing discloses no broker commission on these contracts.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
SOUTHERN NATIONAL LIFE INSURANCE CO is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.
Two carriers split the book: BLUE CROSS AND BLUE SHIELD OF LOUISIANA and EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF LOUISIANA | Health, Dental | 5,686 | Jan 1, 2026 | $53,216,038 | $0 |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Health, Life | 2,689 | Jan 1, 2026 | $2,149,585 | $0 |
| BLUE CROSS AND BLUE SHIELD OF LOUISIANA | Health, Dental, Vision, Annuity / GIC | 179 | Jan 1, 2026 | $784,101 | $0 |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | — | 766 | Jan 1, 2026 | $399,456 | $0 |
| BLUE CROSS AND BLUE SHIELD OF LOUISIANA | Vision | 5,571 | Jan 1, 2026 | $287,127 | $0 |
Premium and claims on this contract
BLUE CROSS AND BLUE SHIELD OF LOUISIANA, contract 46210FF4. For the contract year on this filing, the carrier reported $53,216,038 in premium earned and $51,333,485 in claims incurred. Dividing one by the other gives 96%.
- BLUE CROSS AND BLUE SHIELD OF LOUISIANA, contract 46210FF4 reported $1,882,553 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. The service providers are named on Schedule C of this filing. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 2,668 employees, 7 recordable cases, 11 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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