Form 5500 · Employee benefit plan · LEXINGTON, KY
MISSION CONVERSION SERVICES ALLIANCE, LLC
The filing calls this plan MISSION CONVERSION SERVICES ALLIANCE HEALTH AND WELFARE BENEFIT PLAN.
MISSION CONVERSION SERVICES ALLIANCE, LLC of LEXINGTON, KY spreads its employee benefits across 5 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is ASSUREDPARTNERS NL, LLC. Coverage is written through ANTHEM HEALTH PLANS OF KENTUCKY, INC. and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 88-2219538 · plan 510 · plan year 2025, filed Jun 3, 2026
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679 other employer plans in Kentucky 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
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
Also declared: death benefits, 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 10 insured contracts covering health, dental, vision, life and disability; the largest, with ANTHEM HEALTH PLANS OF KENTUCKY, INC., covers 530 people.
Reported premium across the insured contracts is $23,383,318, with $133,095 in disclosed broker commissions — about 0.6% 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.
ASSUREDPARTNERS NL, LLC is the broker of record on 1 of the 10 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including ANTHEM HEALTH PLANS OF KENTUCKY, INC., MEDICAL MUTUAL OF OHIO, HARTFORD LIFE AND ACCIDENT and RELIASTAR LIFE INSURANCE COMPANY. ANTHEM HEALTH PLANS OF KENTUCKY, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 622 | Jan 1, 2026 | $1,066,050 | $95,050 |
| RELIASTAR LIFE INSURANCE COMPANY | Health, Life, Disability | 261 | Jan 1, 2026 | $175,459 | $18,974 |
| ANTHEM HEALTH PLANS OF KENTUCKY, INC. | Health, Dental, Vision | 530 | Jan 1, 2026 | $20,318,037 | $9,623 |
| MEDICAL MUTUAL OF OHIO | Health, Vision | 228 | Jan 1, 2026 | $1,741,168 | $5,862 |
| MEDICAL MUTUAL OF OHIO | Dental | 239 | Jan 1, 2026 | $50,106 | $1,434 |
| RELIASTAR LIFE INSURANCE COMPANY | Health | 27 | Jan 1, 2026 | $4,055 | $730 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 67 | Jan 1, 2026 | $12,088 | $604 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 67 | Jan 1, 2026 | $9,798 | $490 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 65 | Jan 1, 2026 | $5,773 | $289 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 65 | Jan 1, 2026 | $784 | $39 |
Premium and claims on these contracts
MEDICAL MUTUAL OF OHIO, contract 0149557-01. For the contract year on this filing, the carrier reported $1,741,168 in premium earned and $0 in claims incurred. Dividing one by the other gives 0%.
MEDICAL MUTUAL OF OHIO, contract 0148172-01. For the contract year on this filing, the carrier reported $50,106 in premium earned and $43,026 in claims incurred. Dividing one by the other gives 86%.
- MEDICAL MUTUAL OF OHIO, contract 0149557-01 reported $0 in retention.
- MEDICAL MUTUAL OF OHIO, contract 0148172-01 reported $10,290 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.
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Renewal calendar
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