Form 5500 · Employee benefit plan · HERNDON, VA
SEQUOIA HOLDINGS, LLC
The filing calls this plan SEQUOIA HOLDINGS, LLC HEALTH AND WELFARE PLAN.
SEQUOIA HOLDINGS, LLC of HERNDON, VA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-5253341 · plan 501 · plan year 2025, filed Feb 17, 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 7 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 99 people.
Reported premium across the insured contracts is $3,854,178, with $117,526 in disclosed broker commissions — about 3% of premium.
The most recent policy period ended in July, and the plan year ends July 31. Group contracts typically renew on that annual cycle.
USI INSURANCE SERVICES LLC 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 UNITEDHEALTHCARE INSURANCE COMPANY, DELTA DENTAL OF VIRGINIA, UNITED OF OMAHA LIFE INSURANCE COMPANY and VISION SERVICE PLAN. UNITEDHEALTHCARE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 99 | Aug 1, 2025 | $3,308,206 | $97,721 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 190 | Aug 1, 2025 | $91,386 | $4,906 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 190 | Aug 1, 2025 | $82,477 | $4,812 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 54 | Aug 1, 2025 | $31,248 | $4,674 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 190 | Aug 1, 2025 | $43,686 | $3,695 |
| VISION SERVICE PLAN | Vision | 156 | Aug 1, 2025 | $28,548 | $1,718 |
| DELTA DENTAL OF VIRGINIA | Dental | 433 | Aug 1, 2025 | $268,627 | $0 |
Premium and claims on this contract
DELTA DENTAL OF VIRGINIA, contract 00000402375. For the contract year on this filing, the carrier reported $268,627 in premium earned and $191,823 in claims incurred. Dividing one by the other gives 71%.
- DELTA DENTAL OF VIRGINIA, contract 00000402375 reported $60,441 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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