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Form 5500 · Employee benefit plan · JENISON, MI

HEALTH BENEFIT PLAN FOR RON MIEDEMA CONCRETE

Public Form 5500 records show how HEALTH BENEFIT PLAN FOR RON MIEDEMA CONCRETE of JENISON, MI, a construction employer, structures its employee benefits. Its broker of record is SYMPL BENEFITS INSURANCE. Coverage is written through EQUITABLE and 1 other carrier. The plan's most recent policy period ended in November.

Benefits broker of record
Plan renews
November

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 38-2152095 · plan 501 · as of Aug 2026

Participants
164
Carriers on file
2
Disclosed commissions
$585
Renewal month
November

Plan brief

Schedule A lists 2 insured contracts covering dental and life; the largest, with EQUITABLE, covers 133 people.

Reported premium across the insured contracts is $124,043, with $585 in disclosed broker commissions — about 0.5% of premium.

The most recent policy period ended in November, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

SYMPL BENEFITS INSURANCE is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.

Two carriers split the book: EQUITABLE and METROPOLITAN LIFE INSURANCE COMPANY.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
METROPOLITAN LIFE INSURANCE COMPANY6November$3,133$585
EQUITABLEDental, Life133November$120,910$0

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