Form 5500 · Employee benefit plan · CLEARWATER, FL
BAY LINEN, INC.
The filing calls this plan BAY LINEN, INC. BENEFIT PLAN.
BAY LINEN, INC. of CLEARWATER, FL insures dental, vision and life coverage for its employees, per Schedule A of its Form 5500. Its broker of record is MARSH USA LLC. Coverage is written through RELIANCE MATRIX and 1 other carrier. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 59-3047014 · plan 501 · plan year 2025, filed Mar 13, 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
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 2 insured contracts covering dental, vision and life; the largest, with RELIANCE MATRIX, covers 266 people.
The filing declares dental, vision, life 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 $109,547, with $10,025 in disclosed broker commissions — about 9.2% of premium.
The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.
MARSH USA LLC is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| RELIANCE MATRIX | Dental, Vision | 266 | Dec 1, 2025 | $75,953 | $7,595 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 136 | Dec 1, 2025 | $33,594 | $2,430 |
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: 176 employees, 11 recordable cases, 264 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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