Form 5500 · Employee benefit plan · RIGBY, ID
MSTT, INC
The filing calls this plan MSTT, INC. HEALTH AND WELFARE BENEFIT PLAN.
MSTT, INC of RIGBY, ID is a 183-participant construction employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is THE BUCKNER COMPANY, INC.. Coverage is written through SUN LIFE ASSURANCE COMPANY OF CANADA and 1 other carrier. The plan's most recent policy period ended in January.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 82-3203118 · plan 501 · plan year 2023, filed Oct 15, 2024
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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.
Benefits declared on this filing
Also declared: supplemental unemployment.
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 2 insured contracts covering dental and stop-loss; the largest, with SUN LIFE ASSURANCE COMPANY OF CANADA, covers 60 people.
The filing declares dental, health, vision and life. Health, vision and life appear with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
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 $289,208 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 is $345,690; the filing discloses no broker commission on these contracts.
The most recent policy period ended in January, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SUN LIFE ASSURANCE COMPANY OF CANADA | Stop-loss | 60 | Jan 2, 2024 | $289,208 | $0 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Dental | 72 | Jan 2, 2024 | $56,482 | $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.
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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