Form 5500 · Employee benefit plan · NEW BRITAIN, CT
POLAMER PRECISION, INC.
The filing calls this plan EMPLOYEE HEALTH PLAN.
POLAMER PRECISION, INC. of NEW BRITAIN, CT files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is SMITH BROTHERS INSURANCE, LLC. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 06-1497200 · plan 501 · plan year 2025, filed Aug 17, 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 UNITEDHEALTHCARE INSURANCE COMPANY, covers 300 people.
Reported premium across the insured contracts is $207,031, with $24,990 in disclosed broker commissions — about 12% of premium.
The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.
SMITH BROTHERS INSURANCE, LLC is the broker of record on all 3 contracts.
3 carriers appear on the filing, including UNITEDHEALTHCARE INSURANCE COMPANY, RELIANCE STANDARD LIFE INSURANCE COMPANY and METROPOLITAN LIFE INSURANCE COMPANY. UNITEDHEALTHCARE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life, Disability | 340 | Dec 1, 2025 | $79,803 | $13,228 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Dental | 300 | Dec 1, 2025 | $111,266 | $9,372 |
| METROPOLITAN LIFE INSURANCE COMPANY | Vision | 217 | Dec 1, 2025 | $15,962 | $2,390 |
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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