Form 5500 · Employee benefit plan · ARABI, LA
THE AMERICAN SUGAR REFINING COMPANY
The filing calls this plan DOMINO SUGAR CORP AND LOCAL 1101 UNITED FOOD AND COMMERCIAL WORKERS UNION HEALTH & WELFARE TRUST EMPLOYEE BENEFITS PLAN.
Public Form 5500 records show how THE AMERICAN SUGAR REFINING COMPANY of ARABI, LA, a manufacturing employer, structures its employee benefits. Its broker of record is ASSUREDPARTNERS GULF COAST INS AGY. Coverage is written through BLUE CROSS AND BLUE SHIELD OF LOUISIANA and 3 other carriers. The plan's most recent policy period ended in January.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 13-3366163 · plan 501 · plan year 2025, filed Nov 13, 2025
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50 other employer plans in Louisiana have policy years ending in January. 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 plan's own financial statement reports paying insurance carriers about what the insurance contracts report in premium.
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 and life; the largest, with BLUE CROSS AND BLUE SHIELD OF LOUISIANA, covers 561 people.
The filing declares health, dental, vision, life and disability. Disability appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $3,697,838, with $130,825 in disclosed broker commissions — about 3.5% of premium.
The health contract's policy period ended in January, while at least one ancillary line's policy period ended in May. The plan is on a split renewal cycle.
ASSUREDPARTNERS GULF COAST INS AGY is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF LOUISIANA | Health | 561 | Feb 1, 2025 | $3,444,195 | $103,429 |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Health, Dental, Vision, Life | 477 | Feb 1, 2025 | $183,750 | $19,195 |
| AMERITAS LIFE INSURANCE CORP. | Dental, Vision | 596 | Jun 1, 2024 | $45,649 | $4,565 |
| HARTFORD LIFE AND ACCIDENT | Life | 447 | Jun 1, 2024 | $24,244 | $3,636 |
Premium and claims on this contract
BLUE CROSS AND BLUE SHIELD OF LOUISIANA, contract 78W22ERC. For the contract year on this filing, the carrier reported $3,444,195 in premium earned and $2,782,490 in claims incurred. Dividing one by the other gives 81%.
- BLUE CROSS AND BLUE SHIELD OF LOUISIANA, contract 78W22ERC reported $668,174 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.
Reported to OSHA
Reported to OSHA for 2025: 1,575 employees, 38 recordable cases, 1,572 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
Other plans filed by this employer
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