Form 5500 · Employee benefit plan · FENTON, MO
HALLMARK STONE COMPANY ACQUISITION LLC
The filing calls this plan GROUP INSURANCE PLAN.
Public Form 5500 records show how HALLMARK STONE COMPANY ACQUISITION LLC of FENTON, MO, a construction employer, structures its employee benefits. Its broker of record is THE DANIEL & HENRY CO. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 72-1577383 · plan 501 · plan year 2025, filed Apr 13, 2026
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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
2 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
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 7 insured contracts covering health, dental, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 212 people.
The filing declares health, dental, life, disability and vision. Vision appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 2 contracts here that do not say what they cover.
Reported premium across the insured contracts is $1,144,341, with $25,410 in disclosed broker commissions — about 2.2% 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.
THE DANIEL & HENRY CO is the broker of record on all 7 contracts.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| NEW YORK LIFE GROUP BENEFIT SOLUTIONS | Disability | 170 | Sep 1, 2025 | $21,377 | $21,377 |
| NEW YORK LIFE GROUP BENEFIT SOLUTIONS | Disability | 170 | Sep 1, 2025 | $25,461 | $2,223 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | — | 96 | Sep 1, 2025 | — | $1,383 |
| NEW YORK LIFE GROUP BENEFIT SOLUTIONS | Life | 170 | Sep 1, 2025 | $3,204 | $320 |
| NEW YORK LIFE GROUP BENEFIT SOLUTIONS | — | 170 | Sep 1, 2025 | $1,068 | $107 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 212 | Sep 1, 2025 | $1,029,687 | $0 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental | 161 | Sep 1, 2025 | $63,544 | $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.
Other plans filed by this employer
How this plan compares
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