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Form 5500 · Employee benefit plan · EDINA, MN

NATIONAL MENTOR HOLDINGS, LLC

The filing calls this plan SEVITA WELFARE BENEFITS PLAN.

NATIONAL MENTOR HOLDINGS, LLC of EDINA, MN is a 31,307-participant health care and social assistance employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is WILLIS TOWERS WATSON US LLC. Coverage is written through RELIASTAR LIFE INSURANCE COMPANY and 9 other carriers. The plan's most recent policy period ended in December.

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

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-3250732 · plan 501 · plan year 2025, filed Sep 24, 2026

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

1,865 other employer plans in Minnesota 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

Both, as reported

The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.

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
31,307
Active at start of year
30,244
Active at end of year
27,572
Disclosed commissions
$926,669
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — KAISER FOUNDATION HEALTH PLAN, INC.561 of 31,307 participants (1.8%) on the largest contract
Dentalinsured — DELTA DENTAL OF MASSACHUSETTS8,963 of 31,307 participants (29%) on the largest contract
Visioninsured — UNITEDHEALTHCARE INSURANCE COMPANY2,758 of 31,307 participants (8.8%) on the largest contract
Lifeinsured — METROPOLITAN LIFE INSURANCE COMPANY34,520 of 31,307 participants
Disabilityinsured — METROPOLITAN LIFE INSURANCE COMPANY12,195 of 31,307 participants (39%)

Health: the largest of the 6 insured health contracts, with KAISER FOUNDATION HEALTH PLAN, INC., covers 561 of 31,307 participants (1.8%) on Schedule A.

Vision: the largest of the 2 insured vision contracts, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 2,758 of 31,307 participants (8.8%) on Schedule A.

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 15 insured contracts covering health, dental, vision, life and disability; the largest, with RELIASTAR LIFE INSURANCE COMPANY, covers 10,784 people.

Reported premium across the insured contracts is $24,545,664, with $926,669 in disclosed broker commissions — about 3.8% 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.

WILLIS TOWERS WATSON US LLC is the broker of record on 12 of the 15 contracts; the rest name a different broker or none.

10 carriers appear on the filing, including RELIASTAR LIFE INSURANCE COMPANY, KAISER FOUNDATION HEALTH PLAN, INC., DELTA DENTAL OF MASSACHUSETTS and METROPOLITAN LIFE INSURANCE COMPANY. RELIASTAR LIFE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
RELIASTAR LIFE INSURANCE COMPANY—10,784Jan 1, 2026$6,918,130$410,984
KAISER FOUNDATION HEALTH PLAN, INC.Health561Jan 1, 2026$3,835,765$125,820
METROPOLITAN LIFE INSURANCE COMPANYLife34,520Jan 1, 2026$2,229,270$111,411
METROPOLITAN LIFE INSURANCE COMPANYDisability12,195Jan 1, 2026$1,648,108$82,767
UNITEDHEALTHCARE INSURANCE COMPANYVision2,758Jan 1, 2026$758,254$75,586
VISION SERVICE PLANVision4,409Jan 1, 2026$570,080$52,334
KAISER FOUNDATION HEALTH PLAN, INC.Health235Jan 1, 2026$1,446,534$45,167
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.Health65Jan 1, 2026$498,991$14,863
KAISER FOUNDATION HEALTH PLAN OF COLORADOHealth21Jan 1, 2026$121,415$3,665
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.Health16Jan 1, 2026$109,559$3,352
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWESTHealth3Jan 1, 2026$13,974$720
DELTA DENTAL OF MASSACHUSETTSDental8,963Jan 1, 2026$3,330,142$0
METROPOLITAN LIFE INSURANCE COMPANYDental9,829Jan 1, 2026$3,055,679$0
METROPOLITAN LIFE INSURANCE COMPANY—27,524Jan 1, 2026$9,763$0
METROPOLITAN LIFE INSURANCE COMPANY—21Jan 1, 2026—$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
NATIONAL MENTOR HOLDINGS, LLC
EIN 04-3250732

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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Renewal calendar

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