Form 5500 · Employee benefit plan · MARYSVILLE, KS
LANDOLL COMPANY, LLC
The filing calls this plan LANDOLL CORPORATION EMPLOYEE HEALTH CARE PLAN.
LANDOLL COMPANY, LLC of MARYSVILLE, KS is a 690-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is SUNSTAR INSURANCE GROUP, LLC. Coverage is written through HCC LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 48-0831886 · plan 501 · plan year 2025, filed Sep 11, 2026
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9 other employer plans in Kansas have policy years ending in November. 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 filing reports benefits paid from the plan's own money, and no medical insurance contract on Schedule A.
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
One contract on this filing does not say which benefits it covers, so a line above may be insured by it.
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 6 insured contracts covering life, disability and stop-loss; the largest, with HCC LIFE INSURANCE COMPANY, covers 656 people.
The filing declares life, disability, health and dental. Health and dental appear 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 the contract here that does not say what it covers.
The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The 2 stop-loss contracts report $743,766 in premium and $69,110 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.
Reported premium across the insured contracts is $1,254,527, with $109,706 in disclosed broker commissions — about 8.7% of premium.
The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HCC LIFE INSURANCE COMPANY | Stop-loss | 656 | Dec 1, 2025 | $691,101 | $69,110 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 441 | Dec 2, 2025 | $235,592 | $35,339 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 781 | Dec 2, 2025 | $62,645 | $3,132 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 715 | Dec 2, 2025 | $212,524 | $2,125 |
| AETNA LIFE INSURANCE COMPANY | Stop-loss | 661 | Dec 1, 2025 | $52,665 | $0 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 600 | Dec 2, 2025 | — | $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. The service providers are named on Schedule C of this filing. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 793 employees, 28 recordable cases, 546 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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Renewal calendar
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