Coverage by line
Premium dollars by benefit type (bundled lines overlap)
- Dental$294K
- Vision$294K
- Life$294K
- Short-term disability$294K
- Long-term disability$294K
- Other$294K
Filings through .
Health & Benefits portfolio - carriers, brokers and premium across this company's 2 health and benefits plans.
2 plans / $294K premiums / 233 covered lives
Premium dollars by benefit type (bundled lines overlap)
Each card links to its plan page. The plan page shows fees vs peers, audit grade, history and counterparties.
401(k)
Fully insured - HUMANA INSURANCE COMPANY
Self-funded
1 plan on this EIN
| Plan | Name | Type | Assets | Participants | Latest year |
|---|---|---|---|---|---|
| #001 | FORMS & SUPPLY, INC. 401(K) PLAN | 401(k) | $11.8M | 270 | 2025 |
2 plans on this EIN
| Plan | Name | Funding | Carrier | Premiums | Covered | Latest year |
|---|---|---|---|---|---|---|
| #502 | FORMS & SUPPLY INC BENEFIT PLAN | Fully insured | HUMANA INSURANCE COMPANY | $294K | 233 | 2025 |
| #501 | FORMS & SUPPLY SELF-FUNDED MEDICAL AND PRESCRIPTION DRUG PLAN | Self-funded | - | $0 | 0 | 2025 |