Form 5500 · Employee benefit plan · ATLANTA, GA
UNITED PARCEL SERVICE OF AMERICA, INC.
The filing calls this plan UPS HEALTH AND WELFARE PACKAGE FOR RETIRED EMPLOYEES.
Public Form 5500 records show how UNITED PARCEL SERVICE OF AMERICA, INC. of ATLANTA, GA, a real estate employer, structures its employee benefits. Coverage is written through VISION SERVICE PLAN and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-1732075 · plan 525 · plan year 2024, filed Jun 16, 2026
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How this plan is funded
Both, as reported
The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.
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
Health: the largest of the 2 insured health contracts, with KAISER FOUNDATION HEALTH PLAN, INC., covers 2 of 3,242 participants (under 0.1%) on Schedule A.
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 3 insured contracts covering health and vision; the largest, with VISION SERVICE PLAN, covers 2,929 people.
The filing declares health, vision 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 $286,840; 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
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| VISION SERVICE PLAN | Vision | 2,929 | Jan 1, 2025 | $249,221 | $0 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 2 | Jan 1, 2025 | $22,081 | $0 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 1 | Jan 1, 2025 | $15,538 | $0 |
Premium and claims on this contract
VISION SERVICE PLAN, contract 12087425. For the contract year on this filing, the carrier reported $249,221 in premium earned and $449,043 in claims incurred. Dividing one by the other gives 180%.
- VISION SERVICE PLAN, contract 12087425 reported $39,875 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.
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
How this plan compares
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