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Sponsor portfolioWelfare / HealthEIN 75-1677890
CAPFORM, INC.
1455 HALSEY WAY · CARROLLTON, TX 75007
9722457292
- Plans filed
- 3
- Years active
- 2016–2025
- Industry
- NAICS 23
- Latest filing
- 2025
Total premiums (latest)
$1.5M
No prior year
Persons covered
1,002
No prior year
Total participants
1,302
No prior year
Plans filed
3
No prior year
Plans under this sponsor
3 plans
Plan #502$2.7M
CAPFORM, INC. HEALTH AND WELFARE PLAN
Fully insured2,198 covered·1 carrier
Primary: BLUE CROSS BLUE SHIELD OF TEXAS
Plan #501$1.5M
CAPFORM, INC. HEALTH AND WELFARE PLAN
Mixed1,002 covered·2 carriers
Primary: CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES
Plan #504$30K
CAPFORM, INC.
Fully insured442 covered·2 carriers
Primary: SAFEGUARD HEALTH PLAN, INC., A TEXAS CORPORATION
Coverage overview
Aggregate, latest year
| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Dental | $1.4M | 79.6% | |
| Life | $90K | 5.1% | |
| Short-term disability | $90K | 5.1% | |
| Long-term disability | $90K | 5.1% | |
| Other | $90K | 5.1% |
Carrier overview
2 carriers · all plans
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 591031071 | D | $1.4M | 94.0% | 1 | 1 | 1,002 |
EIN 362598882 | LSTDLTDOth | $90K | 6.0% | 1 | 1 | 150 |
Broker overview
1 broker · all plans
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC | VIRGINIA BEACH, VA | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES, DEARBORN LIFE INSURANCE COMPANY | $38K | $5K | $44K | 100.0% | 1 |
History & trajectory
10 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