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Form 5500 · Employee benefit plan · REFTON, PA

QUALITY STONE VENEER, INC.

The filing calls this plan QUALITY STONE VENEER, INC. GROUP HEALTH PLAN.

Public Form 5500 records show how QUALITY STONE VENEER, INC. of REFTON, PA, a manufacturing employer, structures its employee benefits. Its broker of record is LEAMAN, JOSHUA B. Coverage is written through HIGHMARK INC. and 2 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 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-2939746 · plan 501 · plan year 2025, filed Apr 23, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

How this plan is funded

Self-funded as reported

The plan's financial statement reports paying insurance carriers far less than the premium on its insurance contracts, so most benefits were paid from plan money.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
28
Active at start of year
28
Active at end of year
31
Disclosed commissions
$16,702
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — HIGHMARK INC.47 of 28 participants
Dentalinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA29 of 28 participants
Visioninsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA29 of 28 participants
Lifeinsured — AMERICAN UNITED LIFE INSURANCE COMPANY44 of 28 participants
Disabilityinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA29 of 28 participants

Also declared: 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 3 insured contracts covering health, dental, vision, life and disability; the largest, with HIGHMARK INC., covers 47 people.

Reported premium across the insured contracts is $405,090, with $16,702 in disclosed broker commissions — about 4.1% 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.

LEAMAN, JOSHUA B is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.

3 carriers appear on the filing, including HIGHMARK INC., THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and AMERICAN UNITED LIFE INSURANCE COMPANY. HIGHMARK INC. writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
HIGHMARK INC.Health47Jan 1, 2026$377,194$12,924
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICADental, Vision, Disability29Jan 1, 2026$22,375$2,728
AMERICAN UNITED LIFE INSURANCE COMPANYLife44Jan 1, 2026$5,521$1,050

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
QUALITY STONE VENEER, INC.
EIN 23-2939746

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 77 employees, 6 recordable cases, 90 days away from work.

EmployeesThe company's own average for the year
77
Hours worked
152,282
Recordable cases
6
Days away from work
90
Establishments filed under this EIN
6

Source: OSHA Injury Tracking Application establishment data, 2025.

Money the plan held and paid out

Plan assets at year end
$0

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule I

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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