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Form 5500 · Employee benefit plan · BIRMINGHAM, AL

ARLINGTON HOLDING COMPANY, LLC

The filing calls this plan ARLINGTON HOLDING COMPANY, LLC EMPLOYEE BENEFITS PLAN.

ARLINGTON HOLDING COMPANY, LLC of BIRMINGHAM, AL insures dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is PATRIOT GROWTH INS SERVICES LLC. Coverage is written through BLUE CROSS AND BLUE SHIELD OF ALABAMA and 1 other carrier. The plan's most recent policy period ended in April.

Benefits broker of record
Policy year ends
Aprilas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 59-2374120 · plan 501 · plan year 2025, filed Sep 30, 2025

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42 other employer plans in Alabama have policy years ending in April. 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 names a third-party administrator on Schedule A and reports no medical premium.

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.

All participants at the start of the year
670
Active at start of year
670
Active at end of year
754
Disclosed commissions
$88,020
Typical renewal
May 1

Benefits declared on this filing

Healthdeclared, no contract here says it covers this
Dentalinsured — BLUE CROSS AND BLUE SHIELD OF ALABAMA870 of 670 participants
Visioninsured — BLUE CROSS AND BLUE SHIELD OF ALABAMA870 of 670 participants
Lifeinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY350 of 670 participants (52%) on the largest contract
Disabilityinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY241 of 670 participants (36%) on the largest contract

2 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.

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 7 insured contracts covering dental, vision, life and disability; the largest, with BLUE CROSS AND BLUE SHIELD OF ALABAMA, covers 870 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, placed with a carrier that is not on this filing, or written on one of the 2 contracts here that do not say what they cover.

Reported premium across the insured contracts is $755,181, with $88,020 in disclosed broker commissions — about 12% of premium.

The most recent policy period ended in April, and the plan year ends April 30. Group contracts typically renew on that annual cycle.

PATRIOT GROWTH INS SERVICES LLC is the broker of record on 2 of the 7 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability241May 1, 2025$166,019$33,204
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability754May 1, 2025$141,724$21,259
UNITED OF OMAHA LIFE INSURANCE COMPANYLife350May 1, 2025$73,454$14,691
UNITED OF OMAHA LIFE INSURANCE COMPANY—245May 1, 2025$58,435$8,765
UNITED OF OMAHA LIFE INSURANCE COMPANY—155May 1, 2025$36,308$7,262
UNITED OF OMAHA LIFE INSURANCE COMPANYLife754May 1, 2025$18,927$2,839
BLUE CROSS AND BLUE SHIELD OF ALABAMADental, Vision870May 1, 2025$260,314$0

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
ARLINGTON HOLDING COMPANY, LLC
EIN 59-2374120

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 714 employees, 25 recordable cases, 120 days away from work.

EmployeesThe company's own average for the year
714
Hours worked
1,343,418
Recordable cases
25
Days away from work
120

Source: OSHA Injury Tracking Application establishment data, 2025.

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Renewal calendar

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