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Form 5500 · Employee benefit plan · NASHVILLE, TN

MEDICOPY SERVICES, INC.

The filing calls this plan MEDICOPY SERVICES HEALTH AND WELFARE PLAN.

MEDICOPY SERVICES, INC. of NASHVILLE, TN spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is AP BENEFIT ADVIORS LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2023

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 75-3134811 · plan 501 · plan year 2023, filed May 9, 2024

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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.

All participants at the start of the year
212
Active at start of year
211
Active at end of year
276
Disclosed commissions
$42,214
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY197 of 212 participants (93%)
Dentalinsured — NATIONAL GUARDIAN LIFE INSURANCE COMPANY443 of 212 participants
Visioninsured — NATIONAL GUARDIAN LIFE INSURANCE COMPANY443 of 212 participants
Lifeinsured — PRINCIPAL LIFE INSURANCE COMPANY276 of 212 participants
Disabilityinsured — PRINCIPAL LIFE INSURANCE COMPANY276 of 212 participants

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 4 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 197 people.

Reported premium across the insured contracts is $520,351, with $42,214 in disclosed broker commissions — about 8.1% 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.

AP BENEFIT ADVIORS LLC is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.

4 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, NATIONAL GUARDIAN LIFE INSURANCE COMPANY, PRINCIPAL LIFE INSURANCE COMPANY and CONTINENTAL AMERICAN INSURANCE COMPANY. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
NATIONAL GUARDIAN LIFE INSURANCE COMPANYDental, Vision443Jan 1, 2024$134,238$14,658
PRINCIPAL LIFE INSURANCE COMPANYLife, Disability276Jan 1, 2024$101,161$13,927
CONTINENTAL AMERICAN INSURANCE COMPANY—93Jan 1, 2024$43,872$13,629
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth197Jan 1, 2024$241,080$0

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
MEDICOPY SERVICES, INC.
EIN 75-3134811
CIGNA
Claims processing · Contract administrator · EIN 59-1031071
$40,722
paid directly by the plan

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.

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