Form 5500 · Employee benefit plan · DALLAS, TX
DIESEL DISPLAYS + INTERIORS, LLC
The filing calls this plan DIESEL DISPLAYS + INTERIORS ANCILLARY BENEFITS PLAN.
DIESEL DISPLAYS + INTERIORS, LLC of DALLAS, TX insures dental, vision and life coverage for its employees, per Schedule A of its Form 5500. Its broker of record is HOTCHKISS INSURANCE AGENCY LLC. Coverage is written through THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 85-0494244 · plan 502 · plan year 2024, filed Feb 18, 2025
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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
Also declared: death benefits, 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
Schedule A lists 1 insured contract covering dental, vision and life; the largest, with THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, covers 71 people.
Reported premium across the insured contracts is $25,458, with $4,706 in disclosed broker commissions — about 18% of premium.
The most recent policy period ended in August, and the plan year ends August 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life | 71 | Sep 1, 2024 | $25,458 | $4,706 |
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.
How this plan compares
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