Form 5500 · Employee benefit plan · PENDERGRASS, GA
TAKEUCHI MANUFACTURING (U S) LTD
The filing calls this plan TAKEUCHI MANUFACTURING (U S) LTD WELFARE BENEFIT PLAN.
TAKEUCHI MANUFACTURING (U S) LTD of PENDERGRASS, GA insures health, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is RELATION INSURANCE, INC.. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 58-1356047 · plan 501 · plan year 2025, filed Jul 25, 2026
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1,626 other employer plans in Georgia 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
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 3 insured contracts covering health, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 293 people.
The filing declares health, vision, life, disability and dental. Dental appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $1,196,331, with $173,614 in disclosed broker commissions — about 15% 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.
RELATION INSURANCE, INC. is the broker of record on all 3 contracts.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 293 | Jan 1, 2026 | $951,453 | $129,105 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 285 | Jan 1, 2026 | $219,034 | $41,948 |
| EYEMED VISION CARE | Vision | 360 | Jan 1, 2026 | $25,844 | $2,561 |
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: 305 employees, 6 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
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Renewal calendar
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