Form 5500 · Employee benefit plan · MIDDLETOWN, PA
ADVANCED CONVERSION TECHNOLOGY, INC
The filing calls this plan ADVANCED CONVERSION TECHNOLOGY, INC. EMPLOYEE BENEFITS PLAN.
ADVANCED CONVERSION TECHNOLOGY, INC of MIDDLETOWN, PA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is AMERICAN INSURANCE ADMINISTRATORS. Coverage is written through UNITED OF OMAHA LIFE 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 23-2186457 · plan 501 · plan year 2025, filed Apr 20, 2026
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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
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 3 insured contracts covering dental, vision, life and disability; the largest, with UNITED OF OMAHA LIFE INSURANCE COMPANY, covers 135 people.
The filing declares dental, vision, life, disability and health. Health appears 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 $178,793, with $15,334 in disclosed broker commissions — about 8.6% 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.
AMERICAN INSURANCE ADMINISTRATORS is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 135 | Jan 1, 2026 | $116,598 | $12,224 |
| DELTA DENTAL OF PENNSYLVANIA | Dental | 168 | Jan 1, 2026 | $52,880 | $2,644 |
| HEARTLAND | Vision | 170 | Jan 1, 2026 | $9,315 | $466 |
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: 142 employees, 4 recordable cases, 3 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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