Form 5500 · Employee benefit plan · OMAHA, NE
GLENN VALLEY FOODS, L.L.C.
The filing calls this plan GLENN VALLEY FOODS, L.L.C. GROUP EMPLOYER PAID LIFE/AD&D.
GLENN VALLEY FOODS, L.L.C. of OMAHA, NE files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is OCI INSURANCE & FINANCIAL SERVICES. Coverage is written through MEDICA INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-3849550 · plan 503 · plan year 2024, filed Jun 13, 2025
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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: 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.
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 2 insured contracts covering health and life; the largest, with MEDICA INSURANCE COMPANY, covers 118 people.
Reported premium across the insured contracts is $568,913, with $46,550 in disclosed broker commissions — about 8.2% 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.
OCI INSURANCE & FINANCIAL SERVICES is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: MEDICA INSURANCE COMPANY and UNITED OF OMAHA LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| MEDICA INSURANCE COMPANY | Health | 118 | Sep 1, 2024 | $562,613 | $45,920 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 131 | Sep 1, 2024 | $6,300 | $630 |
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.
Reported to OSHA
Reported to OSHA for 2025: 162 employees, 8 recordable cases, 25 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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