Form 5500 · Employee benefit plan · BOISE, ID
QUALITYLOGIC
The filing calls this plan QUALITYLOGIC HEALTH AND WELFARE WRAP PLAN.
Public Form 5500 records show how QUALITYLOGIC of BOISE, ID, a professional services employer, structures its employee benefits. Its broker of record is JEFFREY FALLICK. Coverage is written through BLUE CROSS OF IDAHO and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-1995556 · plan 502 · plan year 2025, filed Aug 2, 2026
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
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.
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 4 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS OF IDAHO, covers 112 people.
Reported premium across the insured contracts is $929,814, with $48,919 in disclosed broker commissions — about 5.3% 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.
JEFFREY FALLICK is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including BLUE CROSS OF IDAHO, PRINCIPAL LIFE INSURANCE COMPANY, DELTA DENTAL OF IDAHO and WILLAMETTE DENTAL OF IDAHO, INC.. BLUE CROSS OF IDAHO writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS OF IDAHO | Health | 112 | Jan 1, 2026 | $786,789 | $35,525 |
| PRINCIPAL LIFE INSURANCE COMPANY | Vision, Life, Disability | 127 | Jan 1, 2026 | $72,775 | $7,514 |
| DELTA DENTAL OF IDAHO | Dental | 104 | Jan 1, 2026 | $63,732 | $5,554 |
| WILLAMETTE DENTAL OF IDAHO, INC. | Dental | 10 | Jan 1, 2026 | $6,518 | $326 |
Premium and claims on these contracts
BLUE CROSS OF IDAHO, contract 10037509. For the contract year on this filing, the carrier reported $786,789 in premium earned and $1,057,678 in claims incurred. Dividing one by the other gives 134%.
DELTA DENTAL OF IDAHO, contract 4783. For the contract year on this filing, the carrier reported $63,732 in premium earned and $39,224 in claims incurred. Dividing one by the other gives 62%.
WILLAMETTE DENTAL OF IDAHO, INC., contract ID453. For the contract year on this filing, the carrier reported $6,518 in premium earned and $2,464 in claims incurred. Dividing one by the other gives 38%.
- BLUE CROSS OF IDAHO, contract 10037509 reported $48,382 in retention.
- DELTA DENTAL OF IDAHO, contract 4783 reported $17,026 in retention.
- WILLAMETTE DENTAL OF IDAHO, INC., contract ID453 reported $1,146 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
How this plan compares
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