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Form 5500 · Employee benefit plan · HOUSTON, TX

PHILLIPS 66 COMPANY

The filing calls this plan PHILLIPS 66 MEDICAL AND DENTAL ASSISTANCE PLAN.

PHILLIPS 66 COMPANY of HOUSTON, TX insures health, dental and vision coverage for its employees, per Schedule A of its Form 5500. Coverage is written through KAISER PERMANENTE and 2 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Not disclosed
Insurance carrier
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 37-1652702 · plan 501 · plan year 2024, filed Oct 10, 2025

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How this plan is funded

Both, as reported

The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.

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
13,157
Active at start of year
11,946
Active at end of year
11,541
Disclosed commissions
$0
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — KAISER PERMANENTE747 of 13,157 participants (5.7%) on the largest contract
Dentalinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY37 of 13,157 participants (0.3%)
Visioninsured — VISION SERVICE PLAN12,418 of 13,157 participants (94%) on the largest contract
Lifedeclared under plan 502
Disabilitydeclared under plan 503

Health: the largest of the 4 insured health contracts, with KAISER PERMANENTE, covers 747 of 13,157 participants (5.7%) on Schedule A.

Dental: CIGNA HEALTH AND LIFE INSURANCE COMPANY covers 37 of 13,157 participants (0.3%) on Schedule A.

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 5 insured contracts covering health, dental and vision.

Reported premium is $17,143,621; the filing discloses no broker commission on these contracts.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.

3 carriers appear on the filing, including KAISER PERMANENTE, VISION SERVICE PLAN and CIGNA HEALTH AND LIFE INSURANCE COMPANY. KAISER PERMANENTE writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
KAISER PERMANENTEHealth747Jan 1, 2025$6,956,480$0
KAISER PERMANENTEHealth769Jan 1, 2025$6,819,904$0
VISION SERVICE PLANVision12,418Jan 1, 2025$2,228,825$0
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth, Dental, Vision37Jan 1, 2025$650,623$0
KAISER PERMANENTEHealth51Jan 1, 2025$487,789$0

Premium and claims on this contract

VISION SERVICE PLAN, contract 30041732. For the contract year on this filing, the carrier reported $2,228,825 in premium earned and $2,282,608 in claims incurred. Dividing one by the other gives 102%.

  • VISION SERVICE PLAN, contract 30041732 reported $245,171 in retention.

Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.

Only experience-rated contracts report these figures, so most filings leave them blank.

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

BLUE CROSS BLUE SHIELD
Claims processing · Contract administrator · EIN 36-1236610
$7,796,900
paid directly by the plan
AETNA
Claims processing · Contract administrator · EIN 06-6033492
$1,880,067
paid directly by the plan
METROPOLITAN LIFE INSURANCE COMPANY
Claims processing · Contract administrator · EIN 13-5581829
$822,532
paid directly by the plan

Named on Schedule C of this filing. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 2,684 employees, 2 recordable cases, 90 days away from work.

EmployeesThe company's own average for the year
2,684
Hours worked
5,737,168
Recordable cases
2
Days away from work
90
Establishments filed under this EIN
6

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

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