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Form 5500 · Employee benefit plan · SCOTT AFB, IL

UNCOMN, LLC

The filing calls this plan UNCOMN, LLC WELFARE BENEFITS PLAN.

UNCOMN, LLC of SCOTT AFB, IL files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is DIGITAL INSURANCE, LLC. Coverage is written through CRUM & FORSTER and 2 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Policy year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 27-3263809 · plan 501 · plan year 2025, filed Aug 1, 2026

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How this plan is funded

Self-funded as reported

The filing reports a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.

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.

All participants at the start of the year
207
Active at start of year
205
Active at end of year
221
Disclosed commissions
$23,197
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — PRINCIPAL LIFE INSURANCE COMPANY389 of 207 participants
Dentalinsured — PRINCIPAL LIFE INSURANCE COMPANY389 of 207 participants
Visioninsured — PRINCIPAL LIFE INSURANCE COMPANY389 of 207 participants
Lifeinsured — PRINCIPAL LIFE INSURANCE COMPANY389 of 207 participants
Disabilityinsured — PRINCIPAL LIFE INSURANCE COMPANY389 of 207 participants

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 3 insured contracts covering health, dental, vision, life, disability and stop-loss; the largest, with CRUM & FORSTER, covers 148 people.

The medical plan carries stop-loss coverage: the filing reports the plan paying its own health claims, with insured protection against large ones.

Reported premium across the insured contracts is $584,246, with $23,197 in disclosed broker commissions — about 4% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

DIGITAL INSURANCE, LLC is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
PRINCIPAL LIFE INSURANCE COMPANYHealth, Dental, Vision, Life, Disability389Jan 1, 2026$262,692$23,197
CRUM & FORSTERStop-loss148Jan 1, 2026$321,296$0
OPTUM HEALTH (UNIMERICA INSURANCE COMPANY)Stop-loss0Jan 1, 2026$258$0

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
UNCOMN, LLC
EIN 27-3263809
UMR
Claims processing · EIN 39-1995276
$87,518
paid directly by the plan
ONEDIGITAL (CLJM, LLC. DBA HM BENEF
BROKER · EIN 58-2522668
$70,536
paid directly by the plan

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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