Form 5500 · Employee benefit plan · LAFAYETTE, LA
WAITR, INC.
The filing calls this plan WAITR, INC. HEALTH AND WELFARE PLAN.
Public Form 5500 records show how WAITR, INC. of LAFAYETTE, LA, a retail employer, structures its employee benefits. Its broker of record is CALIBER BENEFITS GROUP. Coverage is written through BLUE CROSS AND BLUE SHIELD OF LOUISIANA and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-2249871 · plan 501 · plan year 2023, filed Jul 19, 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.
Benefits declared on this filing
Also declared: death benefits.
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 AND BLUE SHIELD OF LOUISIANA, covers 164 people.
Reported premium across the insured contracts is $1,103,377, with $56,228 in disclosed broker commissions — about 5.1% 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.
CALIBER BENEFITS GROUP is the broker of record on all 2 contracts.
Two carriers split the book: BLUE CROSS AND BLUE SHIELD OF LOUISIANA and METROPOLITAN LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF LOUISIANA | Health | 164 | Jan 1, 2024 | $989,898 | $31,629 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental, Vision, Life, Disability | 142 | Jan 1, 2024 | $113,479 | $24,599 |
Premium and claims on this contract
BLUE CROSS AND BLUE SHIELD OF LOUISIANA, contract 78K52ERC. For the contract year on this filing, the carrier reported $989,898 in premium earned and $1,056,632 in claims incurred. Dividing one by the other gives 107%.
- BLUE CROSS AND BLUE SHIELD OF LOUISIANA, contract 78K52ERC reported $174,223 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.
How this plan compares
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