Form 5500 · Employee benefit plan · EARTH CITY, MO
SUPER BRIGHT LEDS, INC.
The filing calls this plan SUPER BRIGHT LEDS, INC. HEALTH AND WELFARE BENEFITS PLAN.
Public Form 5500 records show how SUPER BRIGHT LEDS, INC. of EARTH CITY, MO, a manufacturing employer, structures its employee benefits. Its broker of record is DANIEL & HENRY CO. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 43-1771820 · plan 501 · plan year 2025, filed Aug 3, 2026
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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
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 6 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 77 people.
Reported premium across the insured contracts is $274,913, with $34,551 in disclosed broker commissions — about 13% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
DANIEL & HENRY CO is the broker of record on all 6 contracts.
Two carriers split the book: CIGNA HEALTH AND LIFE INSURANCE COMPANY and UNITED OF OMAHA LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 77 | Jan 1, 2026 | $186,460 | $22,091 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Dental, Vision | 61 | Jan 1, 2026 | $48,694 | $4,809 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 80 | Jan 1, 2026 | $16,382 | $2,457 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 79 | Jan 1, 2026 | $1,985 | $1,985 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 38 | Jan 1, 2026 | $12,498 | $1,875 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 39 | Jan 1, 2026 | $8,894 | $1,334 |
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. The service providers are named on Schedule C of this filing. We publish company names only.
Other plans filed by this employer
How this plan compares
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