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Form 5500 · Employee benefit plan · DOLOMITE, AL

ROBBIE D. WOOD, INC.

The filing calls this plan ROBBIE D. WOOD, INC. HEALTH & WELFARE PLAN.

ROBBIE D. WOOD, INC. of DOLOMITE, AL insures health, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is PATRIOT GROWTH INSURANCE SVC LLC. Coverage is written through BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 63-0681833 · plan 504 · plan year 2024, filed Apr 15, 2025

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How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
127
Active at start of year
126
Active at end of year
130
Disclosed commissions
$25,073
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY127 of 127 participants (100%)
Dentaldeclared, not on Schedule A
Visionnot declared on this filing
Lifeinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY92 of 127 participants (72%) on the largest contract
Disabilityinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY66 of 127 participants (52%)

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.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

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 health, life and disability; the largest, with BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY, covers 127 people.

The filing declares health, life, disability and dental. Dental appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.

Reported premium across the insured contracts is $526,312, with $25,073 in disclosed broker commissions — about 4.8% 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.

PATRIOT GROWTH INSURANCE SVC LLC is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
UNITED OF OMAHA LIFE INSURANCE COMPANYLife92Jan 1, 2025$88,878$17,776
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability66Jan 1, 2025$31,800$6,360
UNITED OF OMAHA LIFE INSURANCE COMPANYLife152Jan 1, 2025$6,247$937
BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANYHealth127Jan 1, 2025$399,387$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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
ROBBIE D. WOOD, INC.
EIN 63-0681833
BLUE CROSS AND BLUE SHIELD OF AL
Claims processing · EIN 63-0103830
$115,151
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Other plans filed by this employer

How this plan compares

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