Form 5500 · Employee benefit plan · HILLSIDE, NJ
DONJON MARINE CO INC
The filing calls this plan DONJON MARINE EMPLOYEE WELFARE PLAN.
DONJON MARINE CO INC of HILLSIDE, NJ is a 287-participant wholesale trade employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is KORE INSURANCE HOLDINGS, LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 22-1844615 · plan 501 · plan year 2025, filed Dec 12, 2025
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66 other employer plans in New Jersey have policy years ending in August. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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 and life; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 376 people.
Reported premium across the insured contracts is $3,854,336, with $16,019 in disclosed broker commissions — about 0.4% of premium.
The health contract's policy period ended in August, while at least one ancillary line's policy period ended in July. The plan is on a split renewal cycle.
KORE INSURANCE HOLDINGS, LLC is the broker of record on 3 of the 4 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and UNUM LIFE INSURANCE COMPANY OF AMERICA. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental | 235 | Sep 1, 2024 | $153,453 | $10,602 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Vision | 182 | Sep 1, 2024 | $23,548 | $3,105 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 270 | Jul 2, 2024 | $18,645 | $2,312 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 376 | Sep 1, 2024 | $3,658,690 | $0 |
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.
Other plans filed by this employer
How this plan compares
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Renewal calendar
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