Form 5500 · Employee benefit plan · PIEDMONT, SC
ROY METAL FINISHING
The filing calls this plan ROY METAL FINISHING HEALTH PLAN.
ROY METAL FINISHING of PIEDMONT, SC files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is PLANNED ADMINISTATORS. Coverage is written through NATIONWIDE LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 57-0447100 · plan 579 · plan year 2025, filed May 21, 2026
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How this plan is funded
Self-funded as reported
The filing reports a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.
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.
Benefits declared on this filing
3 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
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 9 insured contracts covering dental, vision, life, disability and stop-loss.
The filing declares dental, vision 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 3 contracts here that do not say what they cover.
The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $348,068 in premium and $0 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.
Reported premium is $517,509; the filing discloses no broker commission on these contracts.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| NATIONWIDE LIFE INSURANCE COMPANY | Stop-loss | — | Jan 1, 2026 | $348,068 | $0 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Dental | 188 | Jan 1, 2026 | $47,195 | $0 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 73 | Jan 1, 2026 | $45,140 | $0 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 118 | Jan 1, 2026 | $25,271 | $0 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 49 | Jan 1, 2026 | $17,032 | $0 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 44 | Jan 1, 2026 | $12,691 | $0 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Vision | 188 | Jan 1, 2026 | $8,662 | $0 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 64 | Jan 1, 2026 | $7,831 | $0 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 118 | Jan 1, 2026 | $5,619 | $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.
Administrator and service providers
Named on Schedule C of this filing. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 154 employees, 2 recordable cases, 23 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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