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Form 5500 · Employee benefit plan · MEMPHIS, TN

MONOGRAM FOOD SOLUTIONS, LLC WELFARE PLAN

The filing calls this plan MONOGRAM FOOD SOLUTIONS, LLC WELFARE PLAN EMPLOYEE BENEFITS PLAN.

MONOGRAM FOOD SOLUTIONS, LLC WELFARE PLAN of MEMPHIS, TN spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is BCINSOURCING LLC. Coverage is written through HCC LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in July.

Benefits broker of record
Policy year ends
Julyas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-3115232 · plan 501 · plan year 2025, filed Apr 1, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

48 other employer plans in Tennessee have policy years ending in July. 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 a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.

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.

All participants at the start of the year
3,524
Active at start of year
3,513
Active at end of year
3,145
Disclosed commissions
$470,893
Typical renewal
August 1

Benefits declared on this filing

Healthdeclared, no contract here says it covers this
Dentaldeclared, no contract here says it covers this
Visioninsured — EYEMED VISION CARE2,863 of 3,524 participants (81%)
Lifeinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY3,145 of 3,524 participants (89%)
Disabilityinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY3,010 of 3,524 participants (85%) on the largest contract

4 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.

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 9 insured contracts covering vision, life, disability and stop-loss; the largest, with HCC LIFE INSURANCE COMPANY, covers 1,881 people.

The filing declares vision, life, disability, health and dental. Health and dental 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 one of the 4 contracts here that do not say what they cover.

The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $1,245,655 in premium and $0 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.

Reported premium across the insured contracts is $4,664,351, with $470,893 in disclosed broker commissions — about 10% of premium.

The most recent policy period ended in July, and the plan year ends July 31. Group contracts typically renew on that annual cycle.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY—1,160Aug 1, 2025$425,545$127,664
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY—1,556Aug 1, 2025$301,603$90,480
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY—1,194Aug 1, 2025$265,932$79,780
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability3,010Aug 1, 2025$816,232$57,136
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife3,145Aug 1, 2025$804,105$56,287
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability2,814Aug 1, 2025$553,612$38,753
EYEMED VISION CAREVision2,863Aug 1, 2025$206,257$20,793
HCC LIFE INSURANCE COMPANYStop-loss1,881Aug 1, 2025$1,245,655$0
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY—3,350Aug 1, 2025$45,410$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
MONOGRAM FOOD SOLUTIONS, LLC WELFARE PLAN
EIN 45-3115232
SURENCY LIFE & HEALTH INSURANCE
Contract administrator · EIN 26-1969006
$8,465
paid directly by the plan
LINCOLN NATIONAL LIFE INSURANCE CO.
Contract administrator · EIN 35-0472300
$28,111
paid directly by the plan
DELTA DENTAL OF TENNESSEE
Contract administrator · EIN 62-0812197
$77,930
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.

Other plans filed by this employer

How this plan compares

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Renewal calendar

48 other employer plans in Tennessee are August 1 renewals (policy year ends July).

Their policy years end in July, like this plan’s, so most renew August 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.

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