form5500lookup

Form 5500 · Employee benefit plan · FT. RECOVERY, OH

CHEESEMAN LLC

The filing calls this plan CHEESEMAN LLC HEALTH PLAN.

CHEESEMAN LLC of FT. RECOVERY, OH is a 240-participant transportation and logistics employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is KEVIN FELDERMAN. Coverage is written through FAIR AMERICAN INSURANCE AND REINSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in December.

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

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 26-1465565 · plan 501 · plan year 2025, filed Jul 9, 2026

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How this plan is funded

Self-funded as reported

The filing reports a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.

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
240
Active at start of year
240
Active at end of year
270
Disclosed commissions
$126,284
Typical renewal
January 1

Benefits declared on this filing

Healthdeclared, no contract here says it covers this
Dentaldeclared under plan 502
Visiondeclared under plan 502
Lifedeclared under plan 503
Disabilitydeclared under plan 503

One contract on this filing does not say which benefits it covers, so a line above may be insured by it.

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.

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

All 2 insured contracts are stop-loss coverage, split across FAIR AMERICAN INSURANCE AND REINSURANCE COMPANY and UNITEDHEALTHCARE INSURANCE COMPANY.

The filing declares 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 the contract here that does not say what it covers.

The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $740,656 in premium and $122,208 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.

Reported premium across the insured contracts is $781,417, with $126,284 in disclosed broker commissions — about 16% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
FAIR AMERICAN INSURANCE AND REINSURANCE COMPANYStop-loss277Jan 1, 2026$740,656$122,208
UNITEDHEALTHCARE INSURANCE COMPANY—548Jan 1, 2026$40,761$4,076

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
CHEESEMAN LLC
EIN 26-1465565

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

Reported to OSHA

Reported to OSHA for 2025: 472 employees, 20 recordable cases, 494 days away from work.

EmployeesThe company's own average for the year
472
Hours worked
967,235
Recordable cases
20
Days away from work
494

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

How this plan compares

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