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Form 5500 · Employee benefit plan · ORLANDO, FL

SIEMENS ENERGY, INC.

The filing calls this plan SIEMENS ENERGY, INC. GROUP INSURANCE AND FLEXIBLE BENEFITS PROGRAM.

SIEMENS ENERGY, INC. of ORLANDO, FL is a 11,345-participant utilities employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is CUSTOM BENEFIT PROGRAMS INC. Coverage is written through HARTFORD LIFE AND ACCIDENT and 5 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 13-3987280 · plan 521 · plan year 2025, filed Jul 30, 2026

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2,208 other employer plans in Florida have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Both, as reported

The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
11,345
Active at start of year
10,992
Active at end of year
10,996
Disclosed commissions
$216,731
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY137 of 11,345 participants (1.2%)
Dentalinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY137 of 11,345 participants (1.2%)
Visioninsured — EYEMED VISION CARE23,785 of 11,345 participants
Lifeinsured — HARTFORD LIFE AND ACCIDENT10,910 of 11,345 participants (96%)
Disabilityinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY10,855 of 11,345 participants (96%)

Health: CIGNA HEALTH AND LIFE INSURANCE COMPANY covers 137 of 11,345 participants (1.2%) on Schedule A.

Dental: CIGNA HEALTH AND LIFE INSURANCE COMPANY covers 137 of 11,345 participants (1.2%) on Schedule A.

Also declared: death benefits, 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.

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 HARTFORD LIFE AND ACCIDENT, covers 10,910 people.

Reported premium across the insured contracts is $17,923,389, with $216,731 in disclosed broker commissions — about 1.2% 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.

CUSTOM BENEFIT PROGRAMS INC is the broker of record on 1 of the 7 contracts; the rest name a different broker or none.

6 carriers appear on the filing, including HARTFORD LIFE AND ACCIDENT, THE LINCOLN NATIONAL LIFE INSURANCE COMPANY, EYEMED VISION CARE and CIGNA HEALTH AND LIFE INSURANCE COMPANY. HARTFORD LIFE AND ACCIDENT writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
RELIASTAR LIFE INSURANCE COMPANY—23,853Jan 1, 2026$572,463$133,916
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth, Dental137Jan 1, 2026$1,105,905$82,815
HARTFORD LIFE AND ACCIDENTLife10,910Jan 1, 2026$9,183,767$0
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability10,855Jan 1, 2026$4,617,692$0
EYEMED VISION CAREVision23,785Jan 1, 2026$1,312,975$0
HARTFORD LIFE AND ACCIDENT—19,613Jan 1, 2026$1,130,587$0
LIFE INSURANCE COMPANY OF NORTH AMERICA—11,117Jan 1, 2026—$0

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
BENEFITS COMMITTEE OF SIEMENS ENERGY, INC.
EIN 13-3987280

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 4,594 employees, 19 recordable cases, 686 days away from work.

EmployeesThe company's own average for the year
4,594
Hours worked
9,075,327
Recordable cases
19
Days away from work
686
Establishments filed under this EIN
16

Source: OSHA Injury Tracking Application establishment data, 2025.

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