Form 5500 · Employee benefit plan · SADDLE BROOK, NE
STARLIGHT HOMECARE AGENCY, INC.
The filing calls this plan STARLIGHT HOMECARE AGENCY HEALTH AND WELFARE PLAN.
STARLIGHT HOMECARE AGENCY, INC. of SADDLE BROOK, NE insures health, dental and vision coverage for its employees, per Schedule A of its Form 5500. Its broker of record is MARSH AND MCLENNAN AGENCY. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 26-1730689 · plan 505 · plan year 2023, filed Aug 9, 2024
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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.
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 1 insured contract covering health, dental and vision; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 226 people.
Reported premium across the insured contracts is $530,775, with $32,129 in disclosed broker commissions — about 6.1% of premium.
The most recent policy period ended in May, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Dental, Vision | 226 | Jun 1, 2023 | $530,775 | $32,129 |
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.
Reported to OSHA
Reported to OSHA for 2025: 1,197 employees, 19 recordable cases, 425 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
How this plan compares
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