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Form 5500 · Employee benefit plan · HOLMDEL, NJ

MBS HIGHWAY, LLC

The filing calls this plan MBS HIGHWAY LLC GROUP HEALTH BENEFIT PLAN.

Public Form 5500 records show how MBS HIGHWAY, LLC of HOLMDEL, NJ, a professional services employer, structures its employee benefits. Its broker of record is THE MELTZER GROUP, INC.. Coverage is written through HM LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-0856741 · plan 501 · plan year 2024, filed May 22, 2025

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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.

All participants at the start of the year
80
Active at start of year
78
Active at end of year
81
Disclosed commissions
$14,982
Typical renewal
January 1

Benefits declared on this filing

Healthdeclared, not on Schedule A
Dentalinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA83 of 80 participants
Visioninsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA83 of 80 participants
Lifeinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA83 of 80 participants
Disabilityinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA83 of 80 participants

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.

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, vision, life, disability and stop-loss; the largest, with HM LIFE INSURANCE COMPANY, covers 57 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.

The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $318,203 in premium and $0 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 $417,428, with $14,982 in disclosed broker commissions — about 3.6% of premium.

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

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICADental, Vision, Life, Disability83Jan 1, 2025$99,225$14,982
HM LIFE INSURANCE COMPANYStop-loss57Jan 1, 2025$318,203$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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
MBS HIGHWAY, LLC
EIN 46-0856741
UMR
Claims processing · EIN 39-1995276
$4,515
paid directly by the plan
CONNECTCARE3
PATIENT ADVOCATE · EIN 26-1768616
$3,962
paid directly by the plan

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.

Money the plan held and paid out

Plan assets at year end
$20,947
Paid out in benefits
$686,180

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule I

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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