Benefits pack
Halcyon Drilling Ltd: benefits pack
As at Oct 29, 2026. Counts and records only: no one's name, conversation, claims or health. Fictional, from the demo.
The plans in force
| Medical: Fictional Lone Star Health | HAL-US-PPO-2027, Jan 1, 2026 to Jan 1, 2027$1,490,000 a year; documents: policy wording (Nov 1, 2025), table of benefits (Nov 1, 2025) |
|---|---|
| Dental: Fictional Lone Star Health | HAL-US-DEN-2027, Jan 1, 2026 to Jan 1, 2027$96,000 a year; documents: table of benefits (Nov 1, 2025) |
| Life and AD&D: Fictional Lone Star Life | HAL-US-LIFE-2027, Jan 1, 2026 to Jan 1, 2027$41,000 a year; no plan documents on file |
From the policies on record. Premium is as recorded on the policy; the insurer's invoices are below.
Who is covered
| Active employees | 40 |
|---|---|
| Medical: Fictional Lone Star Health | 37 people enrolled |
| Dental: Fictional Lone Star Health | 35 people enrolled |
| Life and AD&D: Fictional Lone Star Life | 37 people enrolled |
| Leavers still covered | 2on a plan, no longer in the HR system |
| Employed but not enrolled | 1in the HR system, on no plan |
The HR-system comparison last ran Oct 28, 2026. Open findings only; each is an observation with a date, for HR and the broker to settle.
Invoices against enrollment
| Fictional Lone Star Health, LSH-2026-10 | billed 39, enrolled 372026-10-01 to 2026-10-31; 2 more, about $6,368 on that bill |
|---|
The latest invoice for each plan, against the people and family enrolled at the start of its period.
Renewals and decisions
| Renewal Jan 1, 2026 | accepted the recommendationincumbent Fictional Lone Star Health; decided Nov 20, 2025 |
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Each market review on record, and what HR decided. The quotes and the broker's comparison are on the employer's record.
The broker's record: Fictional Northstar Benefits
| Settled in the last 90 days | 2 |
|---|---|
| On time | 50% |
| Open now | 2 |
| Open and past due | 1 |
Every duty agreed with the broker over the last 90 days, from the record. No score: the dates.
US federal dates for the plan year
| Summary annual report, if you extended the Form 5500 | Dec 15, 2026You send it, two months after the extended Form 5500 date; Plans with 100 or more participants at the start of the plan year (smaller insured plans don't file) |
|---|---|
| Enrollment notices: the SBC, the CHIP notice and the women's health (WHCRA) notice | Dec 31, 2026Your carrier writes the SBC; you send them all with the open enrollment materials, before the plan year starts; Every group health plan |
| Gag-clause attestation to CMS | Dec 31, 2026On an insured plan your carrier usually attests for you if you've agreed it in writing; check it's done; Every group health plan |
| W-2s show the cost of health coverage (box 12, code DD) | Feb 1, 2027Your payroll provider; Employers that filed 250 or more W-2s the year before |
| Forms 1095-C to employees | Mar 2, 2027You or your payroll provider; some employers can post a notice that forms are available on request instead, and your broker or payroll provider confirms which you use; Employers with 50 or more full-time employees, counting part-time hours as equivalents |
| Part D disclosure to CMS, online | Mar 2, 2027You, on the CMS website, within 60 days of the plan year starting; Every plan with prescription drug coverage |
| Forms 1094-C and 1095-C to the IRS, filed electronically | Mar 31, 2027You or your payroll provider; Employers with 50 or more full-time employees, counting part-time hours as equivalents |
| Prescription drug data report (RxDC) to CMS | Jun 1, 2027On an insured plan your carrier usually files it; confirm that in writing; Every group health plan |
For 3 people working in the US. The rules most US employers work to; the broker or counsel confirms what applies.


