Form 5500 · Employee benefit plan · BLOOMSBURG, PA
STEVE SHANNON TIRE COMPANY INC
The filing calls this plan STEVE SHANNON TIRE COMPANY, INC. EMPLOYEE BENEFIT PLAN.
STEVE SHANNON TIRE COMPANY INC of BLOOMSBURG, PA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BENECHOICE ENROLLMENT SOLUTIONS INC. Coverage is written through HIGHMARK INC. and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-2549609 · plan 502 · plan year 2024, filed Oct 14, 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
Also declared: 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 6 insured contracts covering dental, vision, life and disability; the largest, with HIGHMARK INC., covers 329 people.
Reported premium across the insured contracts is $199,977, with $42,381 in disclosed broker commissions — about 21% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
BENECHOICE ENROLLMENT SOLUTIONS INC is the broker of record on 3 of the 6 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including HIGHMARK INC., TRUSTMARK INSURANCE COMPANY and UNITED OF OMAHA LIFE INSURANCE COMPANY. HIGHMARK INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| TRUSTMARK INSURANCE COMPANY | Life | 74 | Jan 1, 2025 | $37,462 | $14,447 |
| TRUSTMARK INSURANCE COMPANY | Disability | 70 | Jan 1, 2025 | $44,708 | $10,799 |
| HIGHMARK INC. | Dental, Vision | 329 | Jan 1, 2025 | $80,108 | $7,910 |
| TRUSTMARK INSURANCE COMPANY | — | 100 | Jan 1, 2025 | $11,134 | $3,785 |
| TRUSTMARK INSURANCE COMPANY | — | 24 | Jan 1, 2025 | $8,916 | $3,675 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 418 | Jan 1, 2025 | $17,649 | $1,765 |
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: 618 employees, 24 recordable cases, 611 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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