Form 5500 · Employee benefit plan · COLUMBUS, OH
NATIONWIDE MUTUAL INSURANCE COMPANY
The filing calls this plan NATIONWIDE SUPPLEMENTAL ACCIDENT PLAN.
Public Form 5500 records show how NATIONWIDE MUTUAL INSURANCE COMPANY of COLUMBUS, OH, a finance and insurance employer, structures its employee benefits. Coverage is written through NATIONWIDE LIFE INSURANCE COMPANY. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 31-4177100 · plan 522 · plan year 2024, filed Oct 1, 2025
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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
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
The filing discloses a single insured line, health, through NATIONWIDE LIFE INSURANCE COMPANY, covering 12,910 people.
Reported premium is $2,109,935; the filing discloses no broker commission on these contracts.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.
With 13,954 participants this is one of the larger insured groups on file in OH.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| NATIONWIDE LIFE INSURANCE COMPANY | Health | 12,910 | Jan 1, 2025 | $2,109,935 | $0 |
Premium and claims on this contract
NATIONWIDE LIFE INSURANCE COMPANY, contract 5024. For the contract year on this filing, the carrier reported $2,109,935 in premium earned and $2,612,353 in claims incurred. Dividing one by the other gives 124%.
- NATIONWIDE LIFE INSURANCE COMPANY, contract 5024 reported $-502,418 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.
Other plans filed by this employer
How this plan compares
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