Form 5500 · Employee benefit plan · DALTON, GA
SHAW INDUSTRIES GROUP, INC.
The filing calls this plan SHAW INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN.
SHAW INDUSTRIES GROUP, INC. of DALTON, GA is a 18,227-participant manufacturing employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is BENEFIT COMMUNICATIONS INC. Coverage is written through HARTFORD LIFE AND ACCIDENT and 9 other carriers. The plan's most recent policy period ended in February.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 58-1032521 · plan 506 · plan year 2024, filed Sep 4, 2025
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65 other employer plans in Georgia have policy years ending in February. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Both, as reported
The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.
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
Health: KAISER FOUNDATION HEALTH PLAN, INC. covers 5 of 18,227 participants (under 0.1%) on Schedule A.
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.
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 23 insured contracts covering health, dental, vision, life and disability; the largest, with HARTFORD LIFE AND ACCIDENT, covers 16,477 people.
Reported premium across the insured contracts is $40,377,688, with $3,564,630 in disclosed broker commissions — about 8.8% of premium.
The health contract's policy period ended in February, while at least one ancillary line's policy period ended in December. The plan is on a split renewal cycle.
BENEFIT COMMUNICATIONS INC is the broker of record on 3 of the 23 contracts; the rest name a different broker or none.
10 carriers appear on the filing, including HARTFORD LIFE AND ACCIDENT, METROPOLITAN LIFE INSURANCE COMPANY, RELIASTAR LIFE INSURANCE COMPANY and PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY. HARTFORD LIFE AND ACCIDENT writes the largest contract by premium.
Schedule A insurance contracts
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: 13,645 employees, 340 recordable cases, 9,083 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
One establishment filed under this EIN is left out of these figures: the hours and employees it reported could not both be right.
Other plans filed by this employer
How this plan compares
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Renewal calendar
65 other employer plans in Georgia are March 1 renewals (policy year ends February).
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