Plan Ledger DOL Form 5500 · updated monthly

Capform, Inc.benefits

Capform, Inc. Health and Welfare Plan · CARROLLTON, TX · plan year 2025

Broker compensation reported · 2025
$43,781

Capform, Inc.'s benefits plans covered 1,300 active participants in 2025, providing health · life · dental · short-term disability · long-term disability · death benefits. Insurance brokers and agents were paid $43,781 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $34 per covered person, in the bottom quarter of employer plans that report broker pay. Broker pay rose 8.7% from $40,285 in 2024.

Insurance contracts · 20252
DEARBORN LIFE INSURANCE COMPANY · life std ltdpremiums n/a · 150 covered
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES · dentalpremiums n/a · 1,002 covered
Brokers & agents paid · 20251
USI INSURANCE SERVICES LLC$43,781 · incl $5,460 fees
Also brokered by Usi5
Adapthealth, LLC PA$827,688

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Source: DOL Form 5500 Schedule A, plan year 2025, EIN 751677890 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.