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Form 5500 · Employee benefit plan · SPRINGFIELD, MO

SRC HOLDINGS CORPORATION

The filing calls this plan SRC BENEFITS PROGRAMS TRUST HEALTH INSURANCE FUND.

SRC HOLDINGS CORPORATION of SPRINGFIELD, MO spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is MED-PAY, INC.. Coverage is written through HCC LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in January.

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

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 43-1274934 · plan 502 · plan year 2025, filed Nov 14, 2025

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

17 other employer plans in Missouri have policy years ending in January. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

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.

All participants at the start of the year
1,183
Active at start of year
1,178
Active at end of year
1,106
Disclosed commissions
$196,096
Typical renewal
February 1

Benefits declared on this filing

Healthdeclared, not on Schedule A
Dentaldeclared, not on Schedule A
Visioninsured — EYEMED VISION CARE797 of 1,183 participants (67%)
Lifeinsured — AMERICAN UNITED LIFE INSURANCE COMPANY2,544 of 1,183 participants
Disabilityinsured — AMERICAN UNITED LIFE INSURANCE COMPANY2,544 of 1,183 participants

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 vision, life, disability and stop-loss; the largest, with HCC LIFE INSURANCE COMPANY, covers 1,111 people.

The filing declares vision, life, disability, health and dental. Health and dental appear 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 $886,749 in premium and $123,799 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 $1,376,529, with $196,096 in disclosed broker commissions — about 14% of premium.

The most recent policy period ended in January, and the plan year ends January 31. Group contracts typically renew on that annual cycle.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
HCC LIFE INSURANCE COMPANYStop-loss1,111Feb 1, 2025$886,749$123,799
AMERICAN UNITED LIFE INSURANCE COMPANYLife, Disability2,544Feb 1, 2025$380,941$60,204
EYEMED VISION CAREVision797Feb 1, 2025$108,839$12,093

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
SRC HOLDINGS CORPORATION
EIN 43-1274934
MED-PAY, INC.
Contract administrator · EIN 43-1318969
$195,228
paid directly by the plan
WARRIOR COST MANAGEMENT LLC
PPO NETWORK ACCESS FEES · EIN 85-3740555
$163,451
paid directly by the plan
TELLUS WELLNESS, LLC
WELL-BEING SOLUTIONS · EIN 83-3437157
$86,563
paid directly by the plan
PAYD HEALTH
SPECIALTY RX ADMIN FEES · EIN 84-2853707
$86,140
paid directly by the plan
HEALTHLINK
PPO NETWORK ACCESS FEES · EIN 43-1364135
$37,116
paid directly by the plan
LEAF HEALTH
PRESCRIPTION ADMIN MKTING · EIN 82-3606431
$0
paid directly by the plan
OPTUM
TRANSPLANT NETWORK FEES · EIN 41-1591944
$12,000
paid directly by the plan
MERCY HEALTH SPRINGFIELD COMMUNITY
ON-LINE DOCTOR/MEDICAL · EIN 43-1856028
$9,586
paid directly by the plan
ONE AMERICA
EMPLOYEE ASSISTANCE PROG · EIN 35-0145825
$7,843
paid directly by the plan
PREFERRED HEALTH PROFESSIONALS
PPO NETWORK ACCESS FEES · EIN 20-1665464
$5,758
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Money the plan held and paid out

Plan assets at year end
$184,631
Paid out in benefits
$13,063,453
Paid to insurance carriersSchedule H, line 2e(2)
$1,376,529
Accountant's opinion (Schedule H, line 3a)
Unmodified

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

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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Renewal calendar

17 other employer plans in Missouri are February 1 renewals (policy year ends January).

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