Form 5500 · Employee benefit plan · LANCASTER, PA
SMILEBUILDERZ, LLC.
The filing calls this plan SMILEBUILDERZ LLC EMPLOYEE BENEFIT PLAN.
SMILEBUILDERZ, LLC. of LANCASTER, PA spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is AP BENEFIT ADVISORS LLC. Coverage is written through PRINCIPAL LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-3167069 · plan 501 · plan year 2025, filed Feb 5, 2026
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
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 4 insured contracts covering health, dental, vision, life and disability; the largest, with PRINCIPAL LIFE INSURANCE COMPANY, covers 211 people.
Reported premium across the insured contracts is $98,231, with $12,568 in disclosed broker commissions — about 13% 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.
AP BENEFIT ADVISORS LLC is the broker of record on 3 of the 4 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including PRINCIPAL LIFE INSURANCE COMPANY, THE LINCOLN NATIONAL LIFE INSURANCE COMPANY and TELADOC HEALTH, INC.. PRINCIPAL LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PRINCIPAL LIFE INSURANCE COMPANY | Health, Dental, Vision, Life | 211 | Jul 1, 2025 | $50,689 | $5,512 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Disability | 53 | Jul 1, 2025 | $27,762 | $4,109 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Disability | 24 | Jul 1, 2025 | $19,780 | $2,947 |
| TELADOC HEALTH, INC. | — | 0 | Jul 1, 2025 | — | $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.
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
Subscribers see how this compares with similar plans in Pennsylvania. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices
Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.
More employer plans in Pennsylvania — largest plans, brokers, carriers and renewal months.