Form 5500 · Employee benefit plan · KENDALLVILLE, IN
NORTHEASTERN CENTER, INC
The filing calls this plan NORTHEASTERN CENTER, INC EMPLOYEE BENEFIT PLAN.
NORTHEASTERN CENTER, INC of KENDALLVILLE, IN is a 197-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is CREATIVE BENEFIT SOLUTIONS LLC. Coverage is written through HCC LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 35-1403134 · plan 501 · plan year 2025, filed Nov 14, 2025
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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: 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 3 insured contracts covering dental, vision, life, disability and stop-loss; the largest, with HCC LIFE INSURANCE COMPANY, covers 139 people.
The filing declares dental, vision, life, disability and health. Health appears 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 $588,087 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 $706,391; the filing discloses no broker commission on these contracts.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HCC LIFE INSURANCE COMPANY | Stop-loss | 139 | Jul 1, 2025 | $588,087 | $0 |
| SUN LIFE AND HEALTH INSURANCE COMPANY | Life, Disability | 212 | Jul 1, 2025 | $76,765 | $0 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Dental, Vision | 60 | Jul 1, 2025 | $41,539 | $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. 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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