Form 5500 · Employee benefit plan · OMAHA, NE
GLENN VALLEY FOODS, LLC
The filing calls this plan GLENN VALLEY FOODS, L.L.C. WELFARE BENEFITS PLAN.
GLENN VALLEY FOODS, LLC of OMAHA, NE insures dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is UNICO GROUP, INC.. Coverage is written through AMERITAS LIFE INSURANCE CORP. and 2 other carriers. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-3849550 · plan 504 · plan year 2025, filed May 28, 2026
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
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.
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 3 insured contracts covering dental, vision, life and disability; the largest, with AMERITAS LIFE INSURANCE CORP., covers 94 people.
The filing declares dental, vision, life, disability and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $53,291, with $8,556 in disclosed broker commissions — about 16% 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.
UNICO GROUP, INC. is the broker of record on all 3 contracts.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AMERITAS LIFE INSURANCE CORP. | Dental, Vision | 94 | Sep 1, 2025 | $27,401 | $4,932 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 67 | Sep 1, 2025 | $22,098 | $2,976 |
| EYEMED VISION CARE | Vision | 58 | Sep 1, 2025 | $3,792 | $648 |
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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