Form 5500 · Employee benefit plan · FAIRFAX, VA
A G VAN METRE SERVICES, INC.
The filing calls this plan VAN METRE COMPANIES HEALTH AND WELFARE PLAN.
A G VAN METRE SERVICES, INC. of FAIRFAX, VA is a 541-participant administrative and support services employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is PETER JONES. Coverage is written through RELIANCE STANDARD LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 54-1564854 · plan 502 · plan year 2025, filed May 1, 2026
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148 other employer plans in Virginia have policy years ending in September. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 3 insured contracts covering vision and disability; the largest, with RELIANCE STANDARD LIFE INSURANCE COMPANY, covers 448 people.
The filing declares vision, disability, health and dental. Health and dental appear with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $304,987, with $26,483 in disclosed broker commissions — about 8.7% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
PETER JONES is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Disability | 101 | Oct 1, 2025 | $80,844 | $14,552 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 362 | Oct 1, 2025 | $49,809 | $6,188 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 448 | Oct 1, 2025 | $174,334 | $5,743 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 575 employees, 15 recordable cases, 472 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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Renewal calendar
148 other employer plans in Virginia are October 1 renewals (policy year ends September).
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