Form 5500 · Employee benefit plan · PHILADELPHIA, PA
STARR RESTAURANT ORGANIZATION, L.P.
The filing calls this plan HEALTH AND WELFARE PLAN.
STARR RESTAURANT ORGANIZATION, L.P. of PHILADELPHIA, PA insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is CONNER STRONG & BUCKELEW. Coverage is written through INDEPENDENCE BLUE CROSS - PERSONAL CHOICE and 11 other carriers. The plan's most recent policy period ended in October.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-1918702 · plan 501 · plan year 2025, filed Aug 14, 2026
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103 other employer plans in Pennsylvania have policy years ending in October. 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.
Benefits declared on this filing
Also declared: death benefits.
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 17 insured contracts covering health, dental, vision, life and disability; the largest, with INDEPENDENCE BLUE CROSS - PERSONAL CHOICE, covers 938 people.
Reported premium across the insured contracts is $6,767,235, with $45,628 in disclosed broker commissions — about 0.7% of premium.
The most recent policy period ended in October, and the plan year ends October 31. Group contracts typically renew on that annual cycle.
CONNER STRONG & BUCKELEW is the broker of record on 8 of the 17 contracts; the rest name a different broker or none.
12 carriers appear on the filing, including INDEPENDENCE BLUE CROSS - PERSONAL CHOICE, CIGNA HEALTH AND LIFE INSURANCE COMPANY, UNUM LIFE INSURANCE COMPANY OF AMERICA and VISION SERVICE PLAN. INDEPENDENCE BLUE CROSS - PERSONAL CHOICE writes the largest contract by premium.
Schedule A insurance contracts
Premium and claims on these contracts
VISION SERVICE PLAN, contract 30052098. For the contract year on this filing, the carrier reported $49,177 in premium earned and $0 in claims incurred. Dividing one by the other gives 0%.
INDEPENDENCE BLUE CROSS - PERSONAL CHOICE, contract 900554. For the contract year on this filing, the carrier reported $5,201,685 in premium earned and $4,242,614 in claims incurred. Dividing one by the other gives 82%.
INDEPENDENCE BLUE CROSS - PERSONAL CHOICE, contract 900554. For the contract year on this filing, the carrier reported $998,674 in premium earned and $1,861,148 in claims incurred. Dividing one by the other gives 186%.
- VISION SERVICE PLAN, contract 30052098 reported $22,115 in retention.
- INDEPENDENCE BLUE CROSS - PERSONAL CHOICE, contract 900554 reported $530,683 in retention.
- INDEPENDENCE BLUE CROSS - PERSONAL CHOICE, contract 900554 reported $43,051 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Other plans filed by this employer
How this plan compares
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Renewal calendar
103 other employer plans in Pennsylvania are November 1 renewals (policy year ends October).
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