Form 5500 · Employee benefit plan · WEST FARGO, ND
DOOSAN BOBCAT NORTH AMERICA, INC.
The filing calls this plan DOOSAN HEALTH AND WELFARE PLAN.
Public Form 5500 records show how DOOSAN BOBCAT NORTH AMERICA, INC. of WEST FARGO, ND, a manufacturing employer, structures its employee benefits. Its broker of record is MERCER HEALTH & BENEFITS, LLC. Coverage is written through METROPOLITAN LIFE INSURANCE COMPANY and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 38-0425350 · plan 501 · plan year 2024, filed Oct 6, 2025
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
259 other employer plans in North Dakota have policy years ending in December. 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.
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.
Benefits declared on this filing
Health: the largest of the 4 insured health contracts, with DELAWARE AMERICAN LIFE INSURANCE OF AMERICA, covers 142 of 5,549 participants (2.6%) on Schedule A.
Dental: DELAWARE AMERICAN LIFE INSURANCE OF AMERICA covers 142 of 5,549 participants (2.6%) on Schedule A.
Also declared: death benefits.
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 10 insured contracts covering health, dental, vision, life, disability and stop-loss; the largest, with METROPOLITAN LIFE INSURANCE COMPANY, covers 9,485 people.
The filing lists a stop-loss contract. On its own that does not settle whether the plan pays its own claims.
Reported premium across the insured contracts is $8,763,096, with $46,339 in disclosed broker commissions — about 0.5% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in September. The plan is on a split renewal cycle.
MERCER HEALTH & BENEFITS, LLC is the broker of record on 2 of the 10 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| TOKIO MARINE HCC | Stop-loss | 3,277 | Jan 1, 2025 | $2,009,779 | $38,186 |
| METLIFE LEGAL PLANS | — | 318 | Jan 1, 2025 | $68,972 | $8,153 |
| METROPOLITAN LIFE INSURANCE COMPANY | Vision, Life, Disability | 9,485 | Jan 1, 2025 | $4,726,994 | $0 |
| DELAWARE AMERICAN LIFE INSURANCE OF AMERICA | Health, Dental, Life, Disability | 142 | Jan 1, 2025 | $1,458,110 | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 1,364 | Jan 1, 2025 | $213,320 | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 584 | Jan 1, 2025 | $167,380 | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 733 | Jan 1, 2025 | $57,623 | $0 |
| DELAWARE AMERICAN LIFE INSURANCE OF AMERICA | — | 2,000 | Oct 1, 2024 | $42,997 | $0 |
| NATIONAL UNION FIRE INS. CO. OF PITTSBURGH | — | 250 | Jan 1, 2025 | $10,545 | $0 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | Disability | 1 | Jan 1, 2025 | $7,376 | $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.
Reported to OSHA
Reported to OSHA for 2025: 4,625 employees, 217 recordable cases, 2,311 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
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Renewal calendar
259 other employer plans in North Dakota are January 1 renewals (policy year ends December).
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