Plan Ledger DOL Form 5500 · updated monthly

Trialspark Inc. dba Formation Biobenefits

Formation Bio Health & Welfare Plan · NEW YORK, NY · plan year 2024

Broker compensation reported · 2024
$33,828

Trialspark Inc. dba Formation Bio's benefits plan covered 205 active participants in 2024, providing health · life · dental · vision · short-term disability · long-term disability · death benefits · other. Insurance brokers and agents were paid $33,828 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $165 per covered person, below the median for employer plans that report broker pay.

Insurance contracts · 20243
AETNA LIFE INSURANCE COMPANY · dental vision ppopremiums n/a · 200 covered
METROPOLITAN LIFE INSURANCE COMPANY · life std ltdpremiums n/a · 127 covered
ONE MEDICALpremiums n/a · 205 covered
Brokers & agents paid · 20243
ADVOCATE, INC.$24,701 · incl $2,016 fees
BENEFITMALL HOLDING, INC.$3,819 · incl $15 fees
Also brokered by Advocate, Inc.5
Gofundme, Inc. CA$564,517

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Source: DOL Form 5500 Schedule A, plan year 2024, EIN 471134239 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.