Form 5500 · Employee benefit plan · WORLAND, WY
ADMIRAL BEVERAGE CORPORATION
The filing calls this plan ADMIRAL BEVERAGE EMPLOYEE BENEFIT PLAN.
ADMIRAL BEVERAGE CORPORATION of WORLAND, WY files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MARSH & MCLENNAN AGENCY LLC. Coverage is written through UNIMERICA INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-0210359 · plan 501 · plan year 2025, filed Jul 10, 2026
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61 other employer plans in Wyoming have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Self-funded as reported
The filing reports a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
4 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
Also declared: death benefits, other welfare.
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.
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 8 insured contracts covering vision, life, disability and stop-loss; the largest, with UNIMERICA INSURANCE COMPANY, covers 1,966 people.
The filing declares vision, life, disability, health and dental. Health and dental appear with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 4 contracts here that do not say what they cover.
The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $2,756,566 in premium and $137,828 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.
Reported premium across the insured contracts is $3,900,353, with $237,699 in disclosed broker commissions — about 6.1% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNIMERICA INSURANCE COMPANY | Stop-loss | 1,966 | Jan 1, 2026 | $2,756,566 | $137,828 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 2,414 | Jan 1, 2026 | $410,422 | $40,986 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 716 | Jan 1, 2026 | $105,395 | $21,079 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 281 | Jan 1, 2026 | $77,420 | $15,543 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 2,274 | Jan 1, 2026 | $132,429 | $13,243 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 645 | Jan 1, 2026 | $62,941 | $6,294 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 2,414 | Jan 1, 2026 | $27,257 | $2,726 |
| VISION SERVICE PLAN | Vision | 1,899 | Jan 1, 2026 | $327,923 | $0 |
Premium and claims on this contract
VISION SERVICE PLAN, contract 12159737. For the contract year on this filing, the carrier reported $327,923 in premium earned and $229,586 in claims incurred. Dividing one by the other gives 70%.
- VISION SERVICE PLAN, contract 12159737 reported $52,468 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 1,511 employees, 98 recordable cases, 260 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
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