Form 5500 · Employee benefit plan · PIKETON, OH
SOUTHERN OHIO CLEANUP COMPANY LLC
The filing calls this plan SOUTHERN OHIO CLEANUP COMPANY LLC HEALTH AND WELFARE PLAN.
Public Form 5500 records show how SOUTHERN OHIO CLEANUP COMPANY LLC of PIKETON, OH, a construction employer, structures its employee benefits. Its broker of record is ASSUREDPARTNERS. Coverage is written through MEDICAL MUTUAL OF OHIO and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 88-0925206 · plan 501 · plan year 2025, filed Jul 21, 2026
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2,504 other employer plans in Ohio have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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.
Benefits declared on this filing
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.
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, dental, vision, life and disability; the largest, with MEDICAL MUTUAL OF OHIO, covers 1,139 people.
Reported premium across the insured contracts is $32,469,357, with $624,634 in disclosed broker commissions — about 1.9% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in March. The plan is on a split renewal cycle.
ASSUREDPARTNERS is the broker of record on 3 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including MEDICAL MUTUAL OF OHIO, RELIASTAR LIFE INSURANCE COMPANY, ESI EMPLOYEE ASSISTANCE GROUP and LIFE INSURANCE COMPANY OF NORTH AMERICA. MEDICAL MUTUAL OF OHIO writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| RELIASTAR LIFE INSURANCE COMPANY | Life, Disability | 1,891 | Jan 1, 2026 | $3,128,991 | $523,018 |
| MEDICAL MUTUAL OF OHIO | Health, Dental, Vision | 1,139 | Jan 1, 2026 | $29,311,638 | $101,466 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 1,007 | Mar 29, 2025 | $1,000 | $150 |
| ESI EMPLOYEE ASSISTANCE GROUP | — | 1,218 | Jan 1, 2026 | $27,728 | $0 |
Premium and claims on this contract
MEDICAL MUTUAL OF OHIO, contract A49472. For the contract year on this filing, the carrier reported $29,311,638 in premium earned and $31,916,325 in claims incurred. Dividing one by the other gives 109%.
- MEDICAL MUTUAL OF OHIO, contract A49472 reported $2,598,766 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
How this plan compares
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Renewal calendar
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