Form 5500 · Employee benefit plan · SALT LAKE CITY, UT
DYNO NOBEL INC.
The filing calls this plan DYNO NOBEL INC. EMPLOYEE BENEFITS PLAN.
DYNO NOBEL INC. of SALT LAKE CITY, UT is a 1,885-participant manufacturing employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is GBS BENEFITS INC. Coverage is written through HARTFORD LIFE AND ACCIDENT and 16 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 87-0409179 · plan 501 · plan year 2024, filed Oct 14, 2025
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699 other employer plans in Utah 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
Self-funded as reported
The plan's financial statement reports paying insurance carriers far less than the premium on its insurance contracts, so most benefits were paid from plan money.
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 6 insured health contracts, with KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, covers 140 of 1,885 participants (7.4%) on Schedule A.
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 18 insured contracts covering health, dental, life, disability and stop-loss; the largest, with HARTFORD LIFE AND ACCIDENT, covers 1,730 people.
The medical plan carries stop-loss coverage: the filing reports the plan paying its own health claims, with insured protection against large ones.
Reported premium across the insured contracts is $6,584,929, with $272,585 in disclosed broker commissions — about 4.1% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in April. The plan is on a split renewal cycle.
GBS BENEFITS INC is the broker of record on 8 of the 18 contracts; the rest name a different broker or none.
Schedule A insurance contracts
Premium and claims on these contracts
UNUM INSURANCE COMPANY, contract 914820. For the contract year on this filing, the carrier reported $12,953 in premium earned and $0 in claims incurred. Dividing one by the other gives 0%.
BLUE CROSS AND BLUE SHIELD OF ALABAMA, contract 73435. For the contract year on this filing, the carrier reported $156,794 in premium earned and $158,161 in claims incurred. Dividing one by the other gives 101%.
- UNUM INSURANCE COMPANY, contract 914820 reported $0 in retention.
- BLUE CROSS AND BLUE SHIELD OF ALABAMA, contract 73435 reported $15,429 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. The service providers are named on Schedule C of this filing. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 388 employees, 17 recordable cases, 27 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
Other plans filed by this employer
How this plan compares
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