Form 5500 · Employee benefit plan · ORTONVILLE, MN
BITUMINOUS PAVING, INC.
The filing calls this plan BITUMINOUS PAVING WELFARE BENEFIT PLAN.
BITUMINOUS PAVING, INC. of ORTONVILLE, MN is a 109-participant construction employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is DATTILO CONSULTING, INC.. Coverage is written through MEDICA INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 41-1371474 · plan 501 · plan year 2025, filed Apr 28, 2026
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
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 health, dental, vision, life and disability; the largest, with MEDICA INSURANCE COMPANY, covers 81 people.
Reported premium across the insured contracts is $1,465,218, with $71,688 in disclosed broker commissions — about 4.9% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in January. The plan is on a split renewal cycle.
DATTILO CONSULTING, INC. is the broker of record on all 2 contracts.
Two carriers split the book: MEDICA INSURANCE COMPANY and UNITED OF OMAHA LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| MEDICA INSURANCE COMPANY | Health | 81 | Jan 1, 2026 | $1,291,978 | $44,751 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Dental, Vision, Life, Disability | 116 | Jan 2, 2026 | $173,240 | $26,937 |
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: 73 employees, 7 recordable cases, 14 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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