Form 5500 · Employee benefit plan · GOSHEN, IN
BRINKLEY RV, LLC
BRINKLEY RV, LLC of GOSHEN, IN insures dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is MCGRIFF INSURANCE SERVICES INC. Coverage is written through DELTA DENTAL OF INDIANA and 1 other carrier. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 87-4033880 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 3 insured contracts covering dental, vision, life and disability; the largest, with DELTA DENTAL OF INDIANA, covers 1,489 people.
Reported premium across the insured contracts is $803,562, with $75,974 in disclosed broker commissions — about 9.5% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
MCGRIFF INSURANCE SERVICES INC is the broker of record on all 3 contracts.
Two carriers split the book: DELTA DENTAL OF INDIANA and PRINCIPAL LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PRINCIPAL LIFE INSURANCE COMPANY | Life, Disability | 1,364 | September | $351,626 | $54,565 |
| DELTA DENTAL OF INDIANA | Dental | 1,489 | September | $352,359 | $11,773 |
| DELTA DENTAL OF INDIANA | Vision | 1,216 | September | $99,577 | $9,636 |
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