Form 5500 · Employee benefit plan · SIOUX FALLS, SD
OPHTHALMOLOGY LTD
The filing calls this plan OPHTHALMOLOGY, LTD LONG-TERM DISABILITY PLAN.
Public Form 5500 records show how OPHTHALMOLOGY LTD of SIOUX FALLS, SD, a health care and social assistance employer, structures its employee benefits. Its broker of record is PREMIER BENEFIT ADVISORS INC. Coverage is written through THE LINCOLN NATIONAL LIFE INSURANCE COMPANY. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-0311856 · plan 502 · plan year 2023, filed Jun 17, 2024
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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
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
The filing discloses a single insured line, disability, through THE LINCOLN NATIONAL LIFE INSURANCE COMPANY, covering 107 people.
Reported premium across the insured contracts is $55,595, with $8,339 in disclosed broker commissions — about 15% 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.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Disability | 107 | Jan 1, 2024 | $55,595 | $8,339 |
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.
Other plans filed by this employer
How this plan compares
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