Form 5500 · Employee benefit plan · PHILADELPHIA, PA
U.S. FACILITIES INC.
The filing calls this plan U. S. FACILITIES WELFARE BENEFITS PLAN.
Public Form 5500 records show how U.S. FACILITIES INC. of PHILADELPHIA, PA, a administrative and support services employer, structures its employee benefits. Its broker of record is KISTLER TIFFANY BENEFITS GENERAL. Coverage is written through INDEPENDENCE BLUE CROSS and 3 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-3035879 · plan 501 · plan year 2025, filed Mar 13, 2026
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168 other employer plans in Pennsylvania have policy years ending in September. 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 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 5 insured contracts covering health, dental, vision, life and disability; the largest, with INDEPENDENCE BLUE CROSS, covers 229 people.
Reported premium across the insured contracts is $5,293,073, with $221,359 in disclosed broker commissions — about 4.2% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
KISTLER TIFFANY BENEFITS GENERAL is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including INDEPENDENCE BLUE CROSS, HARTFORD LIFE AND ACCIDENT, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and VISION BENEFITS OF AMERICA. INDEPENDENCE BLUE CROSS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| INDEPENDENCE BLUE CROSS | Health | 229 | Oct 1, 2025 | $4,121,103 | $191,084 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental | 315 | Oct 1, 2025 | $153,661 | $18,439 |
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 497 | Oct 1, 2025 | $246,673 | $9,141 |
| VISION BENEFITS OF AMERICA | Vision | 251 | Oct 1, 2025 | $26,953 | $2,695 |
| INDEPENDENCE BLUE CROSS | Health | 149 | Oct 1, 2025 | $744,683 | $0 |
Premium and claims on these contracts
INDEPENDENCE BLUE CROSS, contract 0000876679. For the contract year on this filing, the carrier reported $4,121,103 in premium earned and $3,033,844 in claims incurred. Dividing one by the other gives 74%.
VISION BENEFITS OF AMERICA, contract 5432. For the contract year on this filing, the carrier reported $26,953 in premium earned and $8,996 in claims incurred. Dividing one by the other gives 33%.
INDEPENDENCE BLUE CROSS, contract 0000876679. For the contract year on this filing, the carrier reported $744,683 in premium earned and $858,243 in claims incurred. Dividing one by the other gives 115%.
- INDEPENDENCE BLUE CROSS, contract 0000876679 reported $0 in retention.
- VISION BENEFITS OF AMERICA, contract 5432 reported $17,957 in retention.
- INDEPENDENCE BLUE CROSS, contract 0000876679 reported $0 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
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 287 employees, 7 recordable cases, 9 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
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Renewal calendar
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