Form 5500 · Employee benefit plan · SAINT ANTHONY, ID
RIVERSIDE FARMS
The filing calls this plan RIVERSIDE FARMS, DBA CRAPO, LTD.
RIVERSIDE FARMS of SAINT ANTHONY, ID is a 162-participant agriculture employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is GALLAGHER BENEFIT SERVICES, INC.. Coverage is written through PACIFICSOURCE HEALTH PLANS and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 82-0367306 · plan 501 · plan year 2025, filed Jun 22, 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
Also declared: other welfare.
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 5 insured contracts covering health, dental, vision, life and disability; the largest, with PACIFICSOURCE HEALTH PLANS, covers 223 people.
Reported premium across the insured contracts is $1,587,898, with $52,407 in disclosed broker commissions — about 3.3% 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.
GALLAGHER BENEFIT SERVICES, INC. is the broker of record on 3 of the 5 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including PACIFICSOURCE HEALTH PLANS, DELTA DENTAL OF IDAHO, STANDARD INSURANCE COMPANY and UNITED HERITAGE LIFE INSURANCE COMPANY. PACIFICSOURCE HEALTH PLANS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PACIFICSOURCE HEALTH PLANS | Health | 223 | Jan 1, 2026 | $1,317,072 | $37,553 |
| STANDARD INSURANCE COMPANY | Life, Disability | 167 | Jan 1, 2026 | $105,039 | $7,804 |
| DELTA DENTAL OF IDAHO | Dental | 94 | Jan 1, 2026 | $119,368 | $3,835 |
| UNITED HERITAGE LIFE INSURANCE COMPANY | Vision | 85 | Jan 1, 2026 | $29,384 | $2,138 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life, Disability | 9 | Jan 1, 2026 | $17,035 | $1,077 |
Premium and claims on these contracts
PACIFICSOURCE HEALTH PLANS, contract G0044273. For the contract year on this filing, the carrier reported $1,317,072 in premium earned and $1,818,344 in claims incurred. Dividing one by the other gives 138%.
STANDARD INSURANCE COMPANY, contract 163817. For the contract year on this filing, the carrier reported $105,039 in premium earned and $16,986 in claims incurred. Dividing one by the other gives 16%.
DELTA DENTAL OF IDAHO, contract 6464. For the contract year on this filing, the carrier reported $119,368 in premium earned and $69,170 in claims incurred. Dividing one by the other gives 58%.
- PACIFICSOURCE HEALTH PLANS, contract G0044273 reported $241,024 in retention.
- STANDARD INSURANCE COMPANY, contract 163817 reported $87,724 in retention.
- DELTA DENTAL OF IDAHO, contract 6464 reported $21,630 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.
How this plan compares
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