form5500lookup

Form 5500 · Employee benefit plan · PLAINSBORO, NJ

PRINCETON HEALTHCARE SYSTEM DBA PENN MEDICINE PRINCETON HEALTH

The filing calls this plan PHCS EMPLOYEE HEALTH AND WELFARE PLAN.

PRINCETON HEALTHCARE SYSTEM DBA PENN MEDICINE PRINCETON HEALTH of PLAINSBORO, NJ spreads its employee benefits across 8 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is AON CORPORATION. Coverage is written through SECURIAN LIFE INSURANCE COMPANY and 7 other carriers. The plan's most recent policy period ended in June.

Benefits broker of record
Policy year ends
Juneas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 21-0635009 · plan 510 · plan year 2024, filed Jan 28, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

178 other employer plans in New Jersey have policy years ending in June. 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.

All participants at the start of the year
2,311
Active at start of year
2,292
Active at end of year
0
Disclosed commissions
$110,041
Typical renewal
July 1

Benefits declared on this filing

Healthinsured — TRANSAMERICA LIFE INSURANCE COMPANY311 of 2,311 participants (13%) on the largest contract
Dentaldeclared, no contract here says it covers this
Visionnot declared on this filing
Lifeinsured — SECURIAN LIFE INSURANCE COMPANY1,657 of 2,311 participants (72%) on the largest contract
Disabilityinsured — PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (FARMINGTON)416 of 2,311 participants (18%) on the largest contract

One contract on this filing does not say which benefits it covers, so a line above may be insured by it.

Also declared: prepaid legal, death benefits.

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 11 insured contracts covering health, life and disability; the largest, with SECURIAN LIFE INSURANCE COMPANY, covers 1,657 people.

The filing declares health, life, disability and dental. Dental appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on the contract here that does not say what it covers.

Reported premium across the insured contracts is $1,520,560, with $110,041 in disclosed broker commissions — about 7.2% of premium.

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

AON CORPORATION is the broker of record on 1 of the 11 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
AETNA LIFE INSURANCE COMPANYHealth545Jul 1, 2024$163,685$30,647
TRANSAMERICA LIFE INSURANCE COMPANYHealth, Life311Jan 1, 2024$191,406$29,113
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (FARMINGTON)Disability416Jan 1, 2024$199,683$25,062
SECURIAN LIFE INSURANCE COMPANYLife1,657Jul 1, 2024$519,714$11,744
SECURIAN LIFE INSURANCE COMPANYLife2,629Jul 1, 2024$258,870$5,850
RELIASTAR LIFE INSURANCE COMPANY (FARMINGTON)Life136Jan 1, 2024$70,340$2,094
AFLACHealth, Disability41Jan 1, 2024$18,635$1,913
ASSURITY LIFE INSURANCE COMPANYLife118Jan 1, 2024$33,751$1,707
SECURIAN LIFE INSURANCE COMPANYLife757Jul 1, 2024$51,724$1,160
AFLACHealth, Disability15Jan 1, 2024$3,429$751
COUNTRYWIDE ENTERPRISES, INC.—50Jan 1, 2024$9,323$0

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
PRINCETON HEALTHCARE SYSTEM DBA PENN MEDICINE PRINCETON HEALTH
EIN 21-0635009

The plan administrator is from line 3a of the main form. We publish company names only.

How this plan compares

Subscribers see how this compares with similar plans in New Jersey. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices

Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.

Renewal calendar

178 other employer plans in New Jersey are July 1 renewals (policy year ends June).

Their policy years end in June, like this plan’s, so most renew July 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.

Claude & ChatGPT

Look up records from Claude or ChatGPT

Add Form5500Lookup to Claude or ChatGPT and ask about any employer, broker or carrier in plain English. Lookups are free. Renewal lists, full books of business and exports are included with a subscription.

Building a list or a tool from these records? Match a list you already have from $29 per 1,000 records, or license the whole dataset as a weekly file for $499 a month. See both

More employer plans in New Jersey — largest plans, brokers, carriers and renewal months.