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Form 5500 · Employee benefit plan · MIDLAND, MI

UNION CARBIDE CORPORATION

The filing calls this plan UNION CARBIDE CORPORATION RETIREE INSURED HEALTH PROGRAM.

UNION CARBIDE CORPORATION of MIDLAND, MI is a 6,463-participant manufacturing employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Coverage is written through HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC. and 2 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Not disclosed
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 13-1421730 · plan 555 · plan year 2024, filed Sep 22, 2025

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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.

All participants at the start of the year
6,463
Active at start of year
0
Active at end of year
0
Disclosed commissions
$0
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.972 of 6,463 participants (15%) on the largest contract
Dentaldeclared, not on Schedule A
Visionnot declared on this filing
Lifenot declared on this filing
Disabilitynot 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

All 3 insured contracts are health coverage, split across HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC., AETNA LIFE INSURANCE COMPANY and KAISER FOUNDATION HEALTH PLAN, INC..

The filing declares health and dental. Dental 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 is $5,135,626; 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.

No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.Health972Jan 1, 2025$3,129,057$0
AETNA LIFE INSURANCE COMPANYHealth4,411Jan 1, 2025$1,984,281$0
KAISER FOUNDATION HEALTH PLAN, INC.Health7Jan 1, 2025$22,288$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
UNION CARBIDE CORPORATION
EIN 13-1421730

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 1,143 employees, 4 recordable cases, 175 days away from work.

EmployeesThe company's own average for the year
1,143
Hours worked
2,378,923
Recordable cases
4
Days away from work
175
Establishments filed under this EIN
4

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

How this plan compares

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