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Form 5500 · Employee benefit plan · BELTSVILLE, MD

PELLA MID-ATLANTIC INC.

PELLA MID-ATLANTIC INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is KELLY & ASSOC INS GROUP, INC. Coverage is written through HARTFORD LIFE AND ACCIDENT and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-1224745 · plan 501 · as of Aug 2026

Participants
189
Carriers on file
4
Disclosed commissions
$13,890
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
HARTFORD LIFE AND ACCIDENTLife, Disability173December$56,443$8,466
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATESDental114December$56,160$3,859
FIDELITY SECURITY LIFE INSURANCE COMPANYVision91December$14,106$1,565
UNITED LEGAL BENEFITS32December$8,562$0

Questions

Who is PELLA MID-ATLANTIC INC.'s benefits broker?

Per its most recent Form 5500 Schedule A, PELLA MID-ATLANTIC INC.'s broker of record is KELLY & ASSOC INS GROUP, INC.

What insurance carrier does PELLA MID-ATLANTIC INC. use?

PELLA MID-ATLANTIC INC.'s benefit plan is written through HARTFORD LIFE AND ACCIDENT, among 4 disclosed carriers.

When does PELLA MID-ATLANTIC INC.'s group plan renew?

The most recent Schedule A policy period for PELLA MID-ATLANTIC INC. ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from PELLA MID-ATLANTIC INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.