Form 5500 · Employee benefit plan · BOISE, ID
SCHOOL MODEL SUPPORT, LLC
The filing calls this plan SCHOOL MODEL SUPPORT EMPLOYEE WELFARE PLAN.
SCHOOL MODEL SUPPORT, LLC of BOISE, ID is a 490-participant education employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is DREW A RANSTROM. Coverage is written through PACIFICSOURCE HEALTH PLANS and 3 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-2513166 · plan 501 · plan year 2025, filed Jan 23, 2026
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12 other employer plans in Idaho 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
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: 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.
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 7 insured contracts covering health, dental, vision, life and disability; the largest, with PACIFICSOURCE HEALTH PLANS, covers 361 people.
Reported premium across the insured contracts is $2,312,274, with $88,607 in disclosed broker commissions — about 3.8% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
DREW A RANSTROM is the broker of record on 1 of the 7 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including PACIFICSOURCE HEALTH PLANS, DELTA DENTAL OF IDAHO, METROPOLITAN LIFE 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 | 361 | Jul 1, 2025 | $1,976,452 | $48,340 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 20 | Jul 1, 2025 | $23,319 | $8,555 |
| METROPOLITAN LIFE INSURANCE COMPANY | Life, Disability | 578 | Jul 1, 2025 | $81,617 | $8,554 |
| DELTA DENTAL OF IDAHO | Dental | 257 | Jul 1, 2025 | $171,201 | $8,134 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 40 | Jul 1, 2025 | $17,502 | $6,747 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 28 | Jul 1, 2025 | $17,122 | $6,293 |
| UNITED HERITAGE LIFE INSURANCE COMPANY | Vision | 235 | Jul 1, 2025 | $25,061 | $1,984 |
Premium and claims on these contracts
PACIFICSOURCE HEALTH PLANS, contract G0045510. For the contract year on this filing, the carrier reported $1,976,452 in premium earned and $1,915,556 in claims incurred. Dividing one by the other gives 97%.
DELTA DENTAL OF IDAHO, contract 3442. For the contract year on this filing, the carrier reported $171,201 in premium earned and $125,273 in claims incurred. Dividing one by the other gives 73%.
- PACIFICSOURCE HEALTH PLANS, contract G0045510 reported $379,479 in retention.
- DELTA DENTAL OF IDAHO, contract 3442 reported $0 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.
How this plan compares
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Renewal calendar
12 other employer plans in Idaho are July 1 renewals (policy year ends June).
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