Form 5500 · Employee benefit plan · COLUMBUS, OH
PREMIER IMAGING VENTURES EMPLOYEE ANCILLARY PLAN
The filing calls this plan PREMIER IMAGING VENTURES, LLC.
PREMIER IMAGING VENTURES EMPLOYEE ANCILLARY PLAN of COLUMBUS, OH spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is DIGITAL INSURANCE INC.. Coverage is written through HARTFORD LIFE AND ACCIDENT and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 65-1284519 · plan 502 · plan year 2025, filed May 20, 2026
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2,504 other employer plans in Ohio have policy years ending in December. 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
Schedule A lists 5 insured contracts covering dental, vision, life and disability; the largest, with HARTFORD LIFE AND ACCIDENT, covers 886 people.
Reported premium across the insured contracts is $1,844,417, with $173,589 in disclosed broker commissions — about 9.4% 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.
DIGITAL INSURANCE INC. is the broker of record on 4 of the 5 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including HARTFORD LIFE AND ACCIDENT, DELTA DENTAL OF OHIO, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and ULLIANCE, INC.. HARTFORD LIFE AND ACCIDENT writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 886 | Jan 1, 2026 | $1,231,019 | $140,211 |
| DELTA DENTAL OF OHIO | Dental | 1,555 | Jan 1, 2026 | $496,196 | $23,775 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Vision | 288 | Jan 1, 2026 | $58,578 | $5,857 |
| HARTFORD LIFE AND ACCIDENT | — | 165 | Jan 1, 2026 | $37,462 | $3,746 |
| ULLIANCE, INC. | — | 882 | Jan 1, 2026 | $21,162 | $0 |
Premium and claims on this contract
DELTA DENTAL OF OHIO, contract 0010911. For the contract year on this filing, the carrier reported $496,196 in premium earned and $560,314 in claims incurred. Dividing one by the other gives 113%.
- DELTA DENTAL OF OHIO, contract 0010911 reported $75,312 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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
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