Form 5500 · Employee benefit plan · PENACOOK, NH
ROSS EXPRESS LLC
The filing calls this plan ROSS EXPRESS LLC LIFE & DISABILITY PLAN.
Public Form 5500 records show how ROSS EXPRESS LLC of PENACOOK, NH, a transportation and logistics employer, structures its employee benefits. Its broker of record is THE ROWLEY AGENCY LLC. Coverage is written through ANTHEM LIFE INSURANCE COMPANY (G1400). The plan's most recent policy period ended in February.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 61-1867549 · plan 503 · plan year 2025, filed Nov 17, 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
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 1 insured contract covering life and disability.
Reported premium across the insured contracts is $249,553, with $37,161 in disclosed broker commissions — about 15% of premium.
The most recent policy period ended in February, and the plan year ends February 28. Group contracts typically renew on that annual cycle.
At 0 participants this is a small group; Form 5500 is required once a welfare plan reaches 100 participants, or when it is funded through insurance contracts.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ANTHEM LIFE INSURANCE COMPANY (G1400) | Life, Disability | — | Mar 1, 2025 | $249,553 | $37,161 |
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.
Reported to OSHA
Reported to OSHA for 2025: 355 employees, 26 recordable cases, 474 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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