Form 5500 · Employee benefit plan · ATLANTA, GA
T5 DATA CENTERS, LLC
The filing calls this plan T5 DATA CENTERS, LLC WELFARE BENEFIT PLAN.
Public Form 5500 records show how T5 DATA CENTERS, LLC of ATLANTA, GA, a real estate employer, structures its employee benefits. Its broker of record is MCGRIFF INSURANCE SERVICES, INC.. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 26-1727066 · plan 501 · plan year 2023, filed Jul 25, 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
Disability: UNUM LIFE INSURANCE COMPANY OF AMERICA covers 2 of 182 participants (1.1%) on Schedule A.
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.
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 184 people.
Reported premium across the insured contracts is $1,404,064, with $13,804 in disclosed broker commissions — about 1% of premium.
The health contract's policy period ended in June, while at least one ancillary line's policy period ended in December. The plan is on a split renewal cycle.
MCGRIFF INSURANCE SERVICES, INC. is the broker of record on all 4 contracts.
Two carriers split the book: CIGNA HEALTH AND LIFE INSURANCE COMPANY and UNUM LIFE INSURANCE COMPANY OF AMERICA.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental, Vision | 184 | Jul 1, 2024 | $1,366,207 | $6,531 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 153 | Jan 1, 2024 | $14,499 | $4,376 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 90 | Jul 1, 2024 | $22,816 | $2,798 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Disability | 2 | Jan 1, 2024 | $542 | $99 |
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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