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Form 5500 · Employee benefit plan · MALVERN, PA

SIEMENS MEDICAL SOLUTIONS USA, INC.

The filing calls this plan SIEMENS MEDICAL SOLUTIONS USA, INC. GROUP INSURANCE AND FLEXIBLE BENEFITS PROGRAM.

SIEMENS MEDICAL SOLUTIONS USA, INC. of MALVERN, PA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is AON RISK SOLUTIONS OF PUERTO RICO. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 8 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 22-2417778 · plan 565 · plan year 2024, filed Oct 13, 2025

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2,778 other employer plans in Pennsylvania 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

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.

All participants at the start of the year
19,508
Active at start of year
16,645
Active at end of year
16,645
Disclosed commissions
$1,659
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — KAISER FOUNDATION HEALTH PLAN, INC.1,512 of 19,508 participants (7.8%) on the largest contract
Dentalinsured — DELTA DENTAL OF PENNSYLVANIA2,173 of 19,508 participants (11%) on the largest contract
Visioninsured — EYEMED VISION CARE36,411 of 19,508 participants
Lifeinsured — HARTFORD LIFE AND ACCIDENT17,043 of 19,508 participants (87%) on the largest contract
Disabilityinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY16,634 of 19,508 participants (85%)

Health: the largest of the 5 insured health contracts, with KAISER FOUNDATION HEALTH PLAN, INC., covers 1,512 of 19,508 participants (7.8%) 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.

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 12 insured contracts covering health, dental, vision, life and disability.

Reported premium across the insured contracts is $32,890,776, with $1,659 in disclosed broker commissions — about 0% 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.

AON RISK SOLUTIONS OF PUERTO RICO is the broker of record on 1 of the 12 contracts; the rest name a different broker or none.

9 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN, INC., THE LINCOLN NATIONAL LIFE INSURANCE COMPANY, HARTFORD LIFE AND ACCIDENT and EYEMED VISION CARE. KAISER FOUNDATION HEALTH PLAN, INC. writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
HARTFORD LIFE AND ACCIDENTLife31Jan 1, 2025$10,368$1,160
LIFE INSURANCE COMPANY OF NORTH AMERICA—16,385Jan 1, 2025$47,297$499
KAISER FOUNDATION HEALTH PLAN, INC.Health1,512Jan 1, 2025$11,400,172$0
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability16,634Jan 1, 2025$7,887,474$0
HARTFORD LIFE AND ACCIDENTLife17,043Jan 1, 2025$7,608,610$0
KAISER FOUNDATION HEALTH PLAN, INC.Health293Jan 1, 2025$2,294,689$0
EYEMED VISION CAREVision36,411Jan 1, 2025$1,892,032$0
HARTFORD LIFE AND ACCIDENT—29,279Jan 1, 2025$704,600$0
DELTA DENTAL OF PENNSYLVANIADental2,173Jan 1, 2025$491,630$0
CONTINENTAL AMERICAN INSURANCE COMPANYHealth13,455Jan 1, 2025$286,289$0
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth, Dental32Jan 1, 2025$166,675$0
HAWAII MEDICAL SERVICE ASSOCIATIONHealth9Jan 1, 2025$100,940$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
SIEMENS MEDICAL SOLUTIONS USA, INC.
EIN 22-2417778

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

Other plans filed by this employer

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