Form 5500 · Employee benefit plan · OMAHA, NE
REAL RADIOLOGY LLC
The filing calls this plan BLUE CROSS BLUE SHIELD OF NEBRASKA.
REAL RADIOLOGY LLC of OMAHA, NE files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is UNKNOWN. Coverage is written through BLUE CROSS BLUE SHIELD OF NEBRASKA. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-5174185 · plan 501 · plan year 2025, filed Sep 24, 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.
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, health, through BLUE CROSS BLUE SHIELD OF NEBRASKA, covering 229 people.
Reported premium across the insured contracts is $2,257,211, with $42,774 in disclosed broker commissions — about 1.9% 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.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF NEBRASKA | Health | 229 | Jan 1, 2026 | $2,257,211 | $42,774 |
Premium and claims on this contract
BLUE CROSS BLUE SHIELD OF NEBRASKA, contract 109559. For the contract year on this filing, the carrier reported $2,257,211 in premium earned and $1,280,971 in claims incurred. Dividing one by the other gives 57%.
- BLUE CROSS BLUE SHIELD OF NEBRASKA, contract 109559 reported $248,525 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.
Other plans filed by this employer
How this plan compares
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