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Form 5500 · Employee benefit plan · JEFFERSONVILLE, IN

PGP CORPORATION

The filing calls this plan VOSS CLARK WELFARE BENEFIT PLAN.

PGP CORPORATION of JEFFERSONVILLE, IN insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is GALLAGHER BENEFIT SERVICES INC.. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 1 other carrier. 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 38-2472855 · plan 501 · plan year 2025, filed Jul 17, 2026

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How this plan is funded

Self-funded as reported

The filing names a third-party administrator on Schedule A and reports no medical premium.

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
119
Active at start of year
119
Active at end of year
122
Disclosed commissions
$53,444
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY256 of 119 participants
Dentalinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA125 of 119 participants
Visioninsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA125 of 119 participants
Lifeinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA125 of 119 participants
Disabilityinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA125 of 119 participants

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 2 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 256 people.

Reported premium across the insured contracts is $558,985, with $53,444 in disclosed broker commissions — about 9.6% of premium.

The health contract's policy period ended in December, while at least one ancillary line's policy period ended in August. The plan is on a split renewal cycle.

GALLAGHER BENEFIT SERVICES INC. is the broker of record on all 2 contracts.

Two carriers split the book: CIGNA HEALTH AND LIFE INSURANCE COMPANY and THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth256Jan 1, 2026$415,888$38,731
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICADental, Vision, Life, Disability125Sep 1, 2025$143,097$14,713

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
PGP CORPORATION
EIN 38-2472855
CIGNA HEALTH INSURANCE COMPANY
Claims processing · Contract administrator · EIN 59-1031071
$76,866
paid directly by the plan

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.

Reported to OSHA

Reported to OSHA for 2025: 127 employees, 7 recordable cases, 175 days away from work.

EmployeesThe company's own average for the year
127
Hours worked
223,466
Recordable cases
7
Days away from work
175

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

How this plan compares

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