Form 5500 · Employee benefit plan · AURORA, IN
SOUTHEASTERN INDIANA ECONOMIC OPPORTUNITY CORPORATION
The filing calls this plan SOUTHEASTERN INDIANA ECONOMIC OPPORTUNITY CORPORATION EMPLOYEE HEALTH BENEFIT PLAN.
Public Form 5500 records show how SOUTHEASTERN INDIANA ECONOMIC OPPORTUNITY CORPORATION of AURORA, IN, a health care and social assistance employer, structures its employee benefits. Its broker of record is COMPASS RISK PARTNERS, LLC. Coverage is written through HCC LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 35-1118476 · plan 501 · plan year 2025, filed Dec 30, 2025
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How this plan is funded
Self-funded as reported
The filing reports benefits paid from the plan's own money, and no medical insurance contract on Schedule A.
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.
Benefits declared on this filing
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 3 insured contracts covering dental, life and stop-loss; the largest, with HCC LIFE INSURANCE COMPANY, covers 21 people.
The filing declares dental, life and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $248,065 in premium and $0 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.
Reported premium across the insured contracts is $269,027, with $1,835 in disclosed broker commissions — about 0.7% 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.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. | Dental | 20 | Jul 1, 2025 | $12,958 | $1,440 |
| MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. | Life | 25 | Jul 1, 2025 | $8,004 | $395 |
| HCC LIFE INSURANCE COMPANY | Stop-loss | 21 | Jul 1, 2025 | $248,065 | $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.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule I
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
Other plans filed by this employer
How this plan compares
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