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Form 5500 · Employee benefit plan · CLAYTON, MO

OLIN CORPORATION

The filing calls this plan HEALTH PLAN FOR RETIREES.

OLIN CORPORATION of CLAYTON, MO spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is CROWN BENEFITS GROUP INC.. Coverage is written through HIGHMARK NEW YORK and 3 other carriers. 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 13-1872319 · plan 570 · plan year 2024, filed Oct 15, 2025

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How this plan is funded

Fully insured as reported

The plan's own financial statement reports paying insurance carriers about what the insurance contracts report in premium.

All participants at the start of the year
131
Active at start of year
0
Active at end of year
0
Disclosed commissions
$46,335
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — HIGHMARK NEW YORK75 of 131 participants (57%) on the largest contract
Dentaldeclared under plan 550
Visiondeclared under plan 550
Lifedeclared under plan 550
Disabilitydeclared under plan 550

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

All 4 insured contracts are health coverage, split across HIGHMARK NEW YORK, CHA HMO, INC. and MVP HEALTHCARE and others.

Reported premium across the insured contracts is $428,499, with $46,335 in disclosed broker commissions — about 11% 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.

CROWN BENEFITS GROUP INC. is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.

4 carriers appear on the filing, including HIGHMARK NEW YORK, CHA HMO, INC., MVP HEALTHCARE and ANTHEM HEALTH PLANS, INC.. HIGHMARK NEW YORK writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
HIGHMARK NEW YORKHealth75Jan 1, 2025$381,713$46,335
CHA HMO, INC.Health7Jan 1, 2025$27,898$0
MVP HEALTHCAREHealth3Jan 1, 2025$14,846$0
ANTHEM HEALTH PLANS, INC.—1Jan 1, 2025$4,042$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
WELFARE AND FRINGE BENEFIT ADMINISTRATIVE COMMITTEE
EIN 06-0943550
UNITEDHEALTHCARE INSURANCE COMPANY
Claims processing · EIN 36-2739571
$12,666
paid directly by the plan
RUBINBROWN LLP
Accounting and audit · EIN 43-0765316
$12,000
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.

Reported to OSHA

Reported to OSHA for 2025: 490 employees, 1 recordable cases, 180 days away from work.

EmployeesThe company's own average for the year
490
Hours worked
1,052,734
Recordable cases
1
Days away from work
180
Establishments filed under this EIN
4

Source: OSHA Injury Tracking Application establishment data, 2025.

One establishment filed under this EIN is left out of these figures: the hours and employees it reported could not both be right.

Money the plan held and paid out

Plan assets at year end
$8,510,730
Paid out in benefits
$927,602
Paid to insurance carriersSchedule H, line 2e(2)
$428,499
Independent accountantEIN 43-0765316
RUBINBROWN LLP
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$12,000

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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