Form 5500 · Employee benefit plan · MONTVALE, NJ
TLSS OPERATIONS HOLDING COMPANY, INC
The filing calls this plan TLSS AUXIANT MEDICAL PLAN.
TLSS OPERATIONS HOLDING COMPANY, INC of MONTVALE, NJ is a 39-participant transportation and logistics employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is CROSS INSURANCE. Coverage is written through AUXIANT/SIRIUS POINT STOP LOSS. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-1701539 · plan 501 · plan year 2023, filed Sep 12, 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.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
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.
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 1 insured contract covering health and stop-loss; the largest, with AUXIANT/SIRIUS POINT STOP LOSS, covers 38 people.
The filing lists a stop-loss contract. On its own that does not settle whether the plan pays its own claims.
Reported premium is $320,726; the filing discloses no broker commission on these contracts.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
At 39 participants this is a small group; Form 5500 is required once a welfare plan reaches 100 participants, or when it is funded through insurance contracts.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AUXIANT/SIRIUS POINT STOP LOSS | Health, Stop-loss | 38 | Jan 1, 2024 | $320,726 | $0 |
Premium and claims on this contract
AUXIANT/SIRIUS POINT STOP LOSS, contract 1813. For the contract year on this filing, the carrier reported $320,726 in premium earned and $420,061 in claims incurred. Dividing one by the other gives 131%.
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
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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