Form 5500 · Employee benefit plan · IDAHO FALLS, ID
SUPER T TRANSPORT
The filing calls this plan SUPER T TRANSPORT HEALTH AND WELFARE WRAP PLAN.
SUPER T TRANSPORT of IDAHO FALLS, ID files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HUB INTERNATIONAL NORTHWEST. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 26-4153139 · plan 502 · plan year 2024, filed Aug 27, 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.
The filing carries code 4S: this plan is filing again after previously being exempt.
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.
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 4 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 93 people.
Reported premium across the insured contracts is $714,761, with $113,954 in disclosed broker commissions — about 16% of premium.
The most recent policy period ended in April, and the plan year ends April 30. Group contracts typically renew on that annual cycle.
HUB INTERNATIONAL NORTHWEST is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, LIFEMAP ASSURANCE COMPANY, COLONIAL LIFE & ACCIDENT INSURANCE COMPANY and WILLAMETTE DENTAL OF IDAHO, INC.. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental, Vision | 93 | May 1, 2024 | $530,936 | $73,370 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life, Disability | 36 | May 1, 2024 | $75,936 | $21,646 |
| LIFEMAP ASSURANCE COMPANY | — | 156 | May 1, 2024 | $93,146 | $18,139 |
| WILLAMETTE DENTAL OF IDAHO, INC. | Dental | 39 | May 1, 2024 | $14,743 | $799 |
Premium and claims on this contract
WILLAMETTE DENTAL OF IDAHO, INC., contract SUPER. For the contract year on this filing, the carrier reported $14,743 in premium earned and $15,744 in claims incurred. Dividing one by the other gives 107%.
- WILLAMETTE DENTAL OF IDAHO, INC., contract SUPER reported $5,307 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.
Administrator and service providers
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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