Form 5500 · Employee benefit plan · POST FALLS, ID
NORTH IDAHO DAY SURGERY LLC
The filing calls this plan NORTH IDAHO DAY SURGERY LLC EMPLOYEE BENEFITS PLAN.
Public Form 5500 records show how NORTH IDAHO DAY SURGERY LLC of POST FALLS, ID, a health care and social assistance employer, structures its employee benefits. Its broker of record is JASON PASTRANO. Coverage is written through UNUM LIFE INSURANCE COMPANY OF AMERICA and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 26-0002031 · plan 504 · plan year 2024, filed Jul 30, 2025
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354 other employer plans in Idaho 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
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
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: death benefits.
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 7 insured contracts covering health, vision, life and disability; the largest, with UNUM LIFE INSURANCE COMPANY OF AMERICA, covers 381 people.
The filing declares health, vision, life, disability and dental. Dental appears 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.
Reported premium across the insured contracts is $926,881, with $187,995 in disclosed broker commissions — about 20% 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.
JASON PASTRANO is the broker of record on 1 of the 7 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS OF IDAHO | Health, Vision | 602 | Jan 1, 2025 | $268,145 | $91,564 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Disability | 381 | Jan 1, 2025 | $344,587 | $52,088 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 388 | Jan 1, 2025 | $138,755 | $21,013 |
| UNUM INSURANCE COMPANY | — | 190 | Jan 1, 2025 | $53,945 | $8,099 |
| UNUM INSURANCE COMPANY | — | 283 | Jan 1, 2025 | $51,585 | $7,738 |
| UNUM INSURANCE COMPANY | — | 101 | Jan 1, 2025 | $28,680 | $4,304 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 729 | Jan 1, 2025 | $41,184 | $3,189 |
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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Renewal calendar
354 other employer plans in Idaho are January 1 renewals (policy year ends December).
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