Form 5500 · Employee benefit plan · PLYMOUTH, MN
LEGACY RESTORATION, LLC
The filing calls this plan MULLINS ENTERPRISES DBA LEGACY RESTORATION LLC HEALTH AND WELFARE BENEFIT LIFE PLAN.
LEGACY RESTORATION, LLC of PLYMOUTH, MN is a 146-participant construction employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is JAS D COLLIER AND COMPANY. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 35-2433040 · plan 504 · plan year 2024, filed Jan 9, 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.
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 dental and life.
Reported premium across the insured contracts is $58,182, with $6,270 in disclosed broker commissions — about 11% of premium.
The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.
JAS D COLLIER AND COMPANY is the broker of record on all 2 contracts.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Dental | — | Apr 1, 2024 | $49,139 | $4,914 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 326 | Apr 1, 2024 | $9,043 | $1,356 |
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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