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Sponsor portfolioWelfare / HealthEIN 26-2860913
FORMSTACK
d/b/a FORMSTACK, LLC
11671 LANTERN ROAD · FISHERS, IN 46038
3173533675
- Plans filed
- 3
- Years active
- 2019–2025
- Industry
- NAICS 54
- Latest filing
- 2025
Total premiums (latest)
$231K
No prior year
Persons covered
306
No prior year
Total participants
140
No prior year
Plans filed
3
No prior year
Plans under this sponsor
3 plans
Plan #503$231K
FORMSTACK LLC HEALTH AND WELFARE PLAN
Mixed306 covered·1 carrier
Primary: PRINCIPAL LIFE INSURANCE COMPANY
Plan #501$219K
FORMSTACK LIFE PLAN
Fully insured406 covered·1 carrier
Primary: PRINCIPAL LIFE INSURANCE COMPANY
Plan #502$219K
FORMSTACK LTD PLAN
Fully insured406 covered·1 carrier
Primary: PRINCIPAL LIFE INSURANCE COMPANY
Coverage overview
Aggregate, latest year
| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Dental | $231K | 16.7% | |
| Vision | $231K | 16.7% | |
| Life | $231K | 16.7% | |
| Short-term disability | $231K | 16.7% | |
| Long-term disability | $231K | 16.7% | |
| Other | $231K | 16.7% |
Carrier overview
1 carrier · all plans
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 420127290 | DVLSTDLTDOth | $231K | 100.0% | 1 | 1 | 306 |
Broker overview
2 brokers · all plans
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| BENNUE INSURANCE, LLC | STAMFORD, CT | PRINCIPAL LIFE INSURANCE COMPANY | $32K | $2K | $34K | 78.1% | 1 |
| PROFESSIONAL GROUP PLANS INC | HAUPPAUGE, NY | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $9K | $9K | 21.9% | 1 |
History & trajectory
7 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.
Policy details
Latest year, by plan