Form 5500 · Employee benefit plan · EVERETT, WA
MAGNIX USA, INC.
The filing calls this plan MAGNIX USA, INC. HEALTH AND WELFARE PLAN.
MAGNIX USA, INC. of EVERETT, WA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MARSH & MCLENNAN AGENCY, LLC. Coverage is written through PREMERA BLUE CROSS and 3 other carriers. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-0709687 · plan 501 · plan year 2025, filed Jul 15, 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
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 6 insured contracts covering health, dental, vision, life and disability; the largest, with PREMERA BLUE CROSS, covers 87 people.
Reported premium across the insured contracts is $1,678,443, with $94,925 in disclosed broker commissions — about 5.7% of premium.
The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.
MARSH & MCLENNAN AGENCY, LLC is the broker of record on all 6 contracts.
4 carriers appear on the filing, including PREMERA BLUE CROSS, DELTA DENTAL OF WASHINGTON, THE LINCOLN NATIONAL LIFE INSURANCE COMPANY and VISION SERVICE PLAN. PREMERA BLUE CROSS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PREMERA BLUE CROSS | Health | 87 | Dec 1, 2025 | $1,449,949 | $72,497 |
| DELTA DENTAL OF WASHINGTON | Dental | 86 | Dec 1, 2025 | $147,536 | $7,377 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Disability | 83 | Dec 1, 2025 | $29,461 | $7,365 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 83 | Dec 1, 2025 | $21,172 | $5,293 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Disability | 83 | Dec 1, 2025 | $8,142 | $1,221 |
| VISION SERVICE PLAN | Vision | 86 | Dec 1, 2025 | $22,183 | $1,172 |
Premium and claims on this contract
DELTA DENTAL OF WASHINGTON, contract 14645. For the contract year on this filing, the carrier reported $147,536 in premium earned and $109,163 in claims incurred. Dividing one by the other gives 74%.
- DELTA DENTAL OF WASHINGTON, contract 14645 reported $26,262 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.
Other plans filed by this employer
How this plan compares
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