Form 5500 · Employee benefit plan · WINDER, GA
SOUTHEAST CULVERT, INC.
The filing calls this plan SOUTHEAST CULVERT, INC. PRINCIPAL PLAN.
SOUTHEAST CULVERT, INC. of WINDER, GA insures health, dental, vision and life coverage for its employees, per Schedule A of its Form 5500. Its broker of record is LANDMARK INS LLC. Coverage is written through PRINCIPAL LIFE INSURANCE COMPANY. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 58-1431250 · plan 501 · plan year 2025, filed Apr 29, 2026
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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 health, dental, vision and life; the largest, with PRINCIPAL LIFE INSURANCE COMPANY, covers 207 people.
Reported premium across the insured contracts is $110,885, with $14,081 in disclosed broker commissions — about 13% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PRINCIPAL LIFE INSURANCE COMPANY | Health, Dental, Vision, Life | 207 | Oct 1, 2025 | $110,885 | $14,081 |
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.
Reported to OSHA
Reported to OSHA for 2025: 152 employees, 16 recordable cases, 15 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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