Form 5500 · Employee benefit plan · SPRINGFIELD, MO
BRISTOL MANUFACTURING CORPORATION
The filing calls this plan BRISTOL MANUFACTURING CORPORATION EMPLOYEE BENEFITS PLAN.
BRISTOL MANUFACTURING CORPORATION of SPRINGFIELD, MO spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is OLLIS AND COMPANY. Coverage is written through COX HEALTH SYSTEMS INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 44-0658024 · plan 501 · plan year 2024, filed Jun 9, 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
Also declared: 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 4 insured contracts covering health, dental, vision, life and disability; the largest, with COX HEALTH SYSTEMS INSURANCE COMPANY, covers 146 people.
Reported premium across the insured contracts is $1,213,581, with $30,788 in disclosed broker commissions — about 2.5% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
OLLIS AND COMPANY is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including COX HEALTH SYSTEMS INSURANCE COMPANY, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and UNUM LIFE INSURANCE COMPANY OF AMERICA. COX HEALTH SYSTEMS INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| COX HEALTH SYSTEMS INSURANCE COMPANY | Health | 146 | Jul 1, 2024 | $1,140,716 | $23,808 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision | 71 | Jul 1, 2024 | $44,618 | $3,086 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 80 | Jul 1, 2024 | $16,213 | $2,089 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 39 | Jul 1, 2024 | $12,034 | $1,805 |
Premium and claims on this contract
COX HEALTH SYSTEMS INSURANCE COMPANY, contract CI2339. For the contract year on this filing, the carrier reported $1,140,716 in premium earned and $1,197,647 in claims incurred. Dividing one by the other gives 105%.
- COX HEALTH SYSTEMS INSURANCE COMPANY, contract CI2339 reported $103,658 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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: 53 employees, 3 recordable cases, 25 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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