Form 5500 · Employee benefit plan · SCOTTDALE, PA
PENN LINE SERVICE INC.
The filing calls this plan PENN LINE SERVICE INC. GROUP EMPLOYEE BENEFIT PLAN.
PENN LINE SERVICE INC. of SCOTTDALE, PA is a 1,704-participant construction employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 25-1000923 · plan 501 · plan year 2023, filed Oct 14, 2024
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147 other employer plans in Pennsylvania have policy years ending in March. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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
2 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
Also declared: death benefits, 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 4 insured contracts covering vision, life and disability; the largest, with UNITED OF OMAHA LIFE INSURANCE COMPANY, covers 1,564 people.
The filing declares vision, life, disability, health and dental. Health and dental appear with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 2 contracts here that do not say what they cover.
Reported premium across the insured contracts is $1,095,465, with $47,278 in disclosed broker commissions — about 4.3% of premium.
The most recent policy period ended in March, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
USI INSURANCE SERVICES LLC is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 1,564 | Apr 1, 2023 | $945,557 | $47,278 |
| VISION SERVICE PLAN | Vision | 877 | Dec 1, 2023 | $112,319 | $0 |
| WORKPARTNERS | — | 1,800 | Jan 1, 2024 | $19,440 | $0 |
| LYTLE BEHAVIORAL HEALTH | — | 1,707 | May 1, 2023 | $18,149 | $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.
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: 190 employees, 7 recordable cases, 190 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
How this plan compares
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Renewal calendar
147 other employer plans in Pennsylvania are April 1 renewals (policy year ends March).
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