Form 5500 · Employee benefit plan · ST MARYS, PA
NICHOLS PORTLAND INC.
The filing calls this plan NICHOLS PORTLAND INC. HEALTH AND WELFARE PLAN.
NICHOLS PORTLAND INC. of ST MARYS, PA is a 736-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is WILLIS TOWERS WATSON NORTHEAST, INC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-1525483 · plan 501 · plan year 2025, filed Apr 10, 2026
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629 other employer plans in Pennsylvania have policy years ending in June. 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
Dental: the largest of the 2 insured dental contracts, with NORTHEAST DELTA DENTAL, covers 4 of 736 participants (0.5%) 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 6 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 470 people.
Reported premium across the insured contracts is $6,524,502, with $25,173 in disclosed broker commissions — about 0.4% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
WILLIS TOWERS WATSON NORTHEAST, INC is the broker of record on 3 of the 6 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, RELIANCE STANDARD LIFE INSURANCE COMPANY, RELIASTAR LIFE INSURANCE COMPANY and NORTHEAST DELTA DENTAL. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life, Disability | 723 | Jul 1, 2025 | $266,804 | $14,705 |
| RELIASTAR LIFE INSURANCE COMPANY | — | 257 | Jul 1, 2025 | $45,882 | $4,588 |
| NORTHEAST DELTA DENTAL | Dental | 224 | Jul 1, 2025 | $26,449 | $2,917 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 650 | Jul 1, 2025 | $13,975 | $1,503 |
| NORTHEAST DELTA DENTAL | Dental | 4 | Jul 1, 2025 | $31,308 | $1,460 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 470 | Jul 1, 2025 | $6,140,084 | $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.
Reported to OSHA
Reported to OSHA for 2025: 462 employees, 31 recordable cases, 155 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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Renewal calendar
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