Form 5500 · Employee benefit plan · VAN WERT, OH
MILLWORK BRANDS, INC.
The filing calls this plan MILLWORK BRANDS, INC. HEALTH AND WELFARE BENEFIT PLAN.
MILLWORK BRANDS, INC. of VAN WERT, OH spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is BROWN & BROWN INS. SERVICES, INC.. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 87-4083844 · plan 505 · plan year 2025, filed Jun 24, 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 3 insured contracts covering health, dental, vision, life and disability; the largest, with UNITED OF OMAHA LIFE INSURANCE COMPANY, covers 111 people.
Reported premium across the insured contracts is $106,566, with $12,590 in disclosed broker commissions — about 12% 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.
BROWN & BROWN INS. SERVICES, INC. is the broker of record on all 3 contracts.
3 carriers appear on the filing, including UNITED OF OMAHA LIFE INSURANCE COMPANY, DELTA DENTAL OF OHIO and VISION SERVICE PLAN. UNITED OF OMAHA LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Health, Life, Disability | 111 | Jan 1, 2026 | $51,498 | $6,396 |
| DELTA DENTAL OF OHIO | Dental | 175 | Jan 1, 2026 | $44,114 | $4,366 |
| VISION SERVICE PLAN | Vision | 73 | Jan 1, 2026 | $10,954 | $1,828 |
Premium and claims on this contract
DELTA DENTAL OF OHIO, contract 11068. For the contract year on this filing, the carrier reported $43,234 in premium earned and $45,609 in claims incurred. Dividing one by the other gives 105%.
- DELTA DENTAL OF OHIO, contract 11068 reported $10,809 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Reported to OSHA
Reported to OSHA for 2025: 130 employees, 2 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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