Form 5500 · Employee benefit plan · ST ALBANS, VT
R.L. VALLEE, INC.
The filing calls this plan R. L. VALLEE, INC. HEALTH & WELFARE PLAN.
R.L. VALLEE, INC. of ST ALBANS, VT spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is STEFANIE PIGEON INC. Coverage is written through DELTA DENTAL PLAN OF VERMONT, INC. and 2 other carriers. The plan's most recent policy period ended in April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 03-0212007 · plan 505 · plan year 2025, filed Nov 19, 2025
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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
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 6 insured contracts covering dental, vision, life and disability; the largest, with DELTA DENTAL PLAN OF VERMONT, INC., covers 237 people.
The filing declares dental, vision, life, disability and health. Health appears 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 $265,697, with $19,634 in disclosed broker commissions — about 7.4% of premium.
The most recent policy period ended in April, and the plan year ends April 30. Group contracts typically renew on that annual cycle.
STEFANIE PIGEON INC is the broker of record on all 6 contracts.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DELTA DENTAL PLAN OF VERMONT, INC. | Dental | 237 | May 1, 2025 | $119,899 | $5,935 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 91 | May 1, 2025 | $53,016 | $4,075 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 91 | May 1, 2025 | $19,800 | $2,970 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 59 | May 1, 2025 | $18,970 | $2,846 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 68 | May 1, 2025 | $14,030 | $2,105 |
| VISION SERVICE PLAN | Vision | 176 | May 1, 2025 | $39,982 | $1,703 |
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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