Form 5500 · Employee benefit plan · PORTLAND, IN
PREMIER FORGE GROUP, LLC
The filing calls this plan PREMIER FORGE GROUP DENTAL PLAN.
PREMIER FORGE GROUP, LLC of PORTLAND, IN is a 263-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is WILLIS TOWERS WATSON INS SVCS WEST. Coverage is written through ANTHEM INSURANCE COMPANIES, INC.. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-4343140 · plan 502 · plan year 2024, filed May 13, 2025
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
50 other employer plans in Indiana have policy years ending in August. 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
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, dental, through ANTHEM INSURANCE COMPANIES, INC., covering 471 people.
Reported premium across the insured contracts is $168,420, with $129,284 in disclosed broker commissions — about 77% of premium.
The most recent policy period ended in August, and the plan year ends August 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC. | Dental | 471 | Sep 1, 2024 | $168,420 | $129,284 |
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.
Reported to OSHA
Reported to OSHA for 2025: 190 employees, 4 recordable cases, 191 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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Renewal calendar
50 other employer plans in Indiana are September 1 renewals (policy year ends August).
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