Form 5500 · Employee benefit plan · MENDOTA HEIGHTS, MN
DUNGARVIN, INC.
The filing calls this plan DUNGARVIN INC EMPLOYEE BENEFIT PLAN.
DUNGARVIN, INC. of MENDOTA HEIGHTS, MN spreads its employee benefits across 5 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is MARSH & MCLENNAN AGENCY LLC. Coverage is written through STANDARD INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 41-2022672 · plan 519 · plan year 2025, filed Mar 26, 2026
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33 other employer plans in Minnesota 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
Both, as reported
The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.
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
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.
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 8 insured contracts covering health, vision, life and disability; the largest, with STANDARD INSURANCE COMPANY, covers 4,374 people.
Reported premium across the insured contracts is $1,926,092, with $191,388 in disclosed broker commissions — about 9.9% 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.
MARSH & MCLENNAN AGENCY LLC is the broker of record on 6 of the 8 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including STANDARD INSURANCE COMPANY, KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, KAISER FOUNDATION HEALTH PLAN OF COLORADO and KAISER FOUNDATION HEALTH PLAN, INC.. STANDARD INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| STANDARD INSURANCE COMPANY | Health | 1,161 | Sep 1, 2025 | $362,466 | $76,919 |
| STANDARD INSURANCE COMPANY | Life | 4,374 | Sep 1, 2025 | $402,977 | $48,420 |
| STANDARD INSURANCE COMPANY | Disability | 757 | Sep 1, 2025 | $181,061 | $36,212 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 24 | Sep 1, 2025 | $194,320 | $10,271 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 39 | Sep 1, 2025 | $299,238 | $8,977 |
| AMERITAS LIFE INSURANCE CORP. | Vision | 3,317 | Sep 1, 2025 | $190,761 | $4,024 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 10 | Sep 1, 2025 | $68,584 | $3,705 |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | Health | 23 | Sep 1, 2025 | $226,685 | $2,860 |
Premium and claims on these contracts
STANDARD INSURANCE COMPANY, contract 761335. For the contract year on this filing, the carrier reported $402,977 in premium earned and $382,720 in claims incurred. Dividing one by the other gives 95%.
STANDARD INSURANCE COMPANY, contract 761335. For the contract year on this filing, the carrier reported $181,061 in premium earned and $88,265 in claims incurred. Dividing one by the other gives 49%.
- STANDARD INSURANCE COMPANY, contract 761335 reported $158,131 in retention.
- STANDARD INSURANCE COMPANY, contract 761335 reported $95,246 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.
Other plans filed by this employer
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