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Form 5500 · Employee benefit plan · KANSAS CITY, MO

VERISHIP LLC DBA SIFTED

The filing calls this plan SIFTED WELFARE BENEFIT PLAN.

VERISHIP LLC DBA SIFTED of KANSAS CITY, MO insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is THE HAYS GROUP INC. Coverage is written through BLUE CROSS BLUE SHIELD OF KANSAS CITY and 1 other carrier. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2023

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-4726751 · plan 501 · plan year 2023, filed Jul 15, 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.

All participants at the start of the year
134
Active at start of year
134
Active at end of year
189
Disclosed commissions
$84,321
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — BLUE CROSS BLUE SHIELD OF KANSAS CITY219 of 134 participants
Dentalinsured — BLUE CROSS BLUE SHIELD OF KANSAS CITY219 of 134 participants
Visioninsured — PRINCIPAL LIFE INSURANCE COMPANY189 of 134 participants
Lifeinsured — PRINCIPAL LIFE INSURANCE COMPANY189 of 134 participants
Disabilityinsured — PRINCIPAL LIFE INSURANCE COMPANY189 of 134 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 2 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF KANSAS CITY, covers 219 people.

Reported premium across the insured contracts is $1,187,605, with $84,321 in disclosed broker commissions — about 7.1% 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.

THE HAYS GROUP INC is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.

Two carriers split the book: BLUE CROSS BLUE SHIELD OF KANSAS CITY and PRINCIPAL LIFE INSURANCE COMPANY.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
BLUE CROSS BLUE SHIELD OF KANSAS CITYHealth, Dental219Jan 1, 2024$1,123,349$73,510
PRINCIPAL LIFE INSURANCE COMPANYVision, Life, Disability189Jan 1, 2024$64,256$10,811

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
VERISHIP LLC DBA SIFTED
EIN 20-4726751

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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