Form 5500 · Employee benefit plan · JOHNSTOWN, OH
TECHNICAL RUBBER CO., INC.
The filing calls this plan TECHNICAL RUBBER COMPANY, INC. EMPLOYEE BENEFIT PLAN.
TECHNICAL RUBBER CO., INC. of JOHNSTOWN, OH files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is THE HDH GROUP INC. Coverage is written through HARTFORD LIFE AND ACCIDENT and 6 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 31-4403525 · plan 501 · plan year 2025, filed Jul 27, 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
4 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
Also declared: prepaid legal, 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 7 insured contracts covering dental, vision, life and disability; the largest, with HARTFORD LIFE AND ACCIDENT, covers 162 people.
The filing declares dental, vision, life, disability and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 4 contracts here that do not say what they cover.
Reported premium across the insured contracts is $202,369, with $8,526 in disclosed broker commissions — about 4.2% 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.
THE HDH GROUP INC is the broker of record on 2 of the 7 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| TRANSAMERICA LIFE INSURANCE COMPANY | — | 133 | Jan 1, 2026 | $32,403 | $8,029 |
| METLIFE LEGAL PLANS | — | 15 | Jan 1, 2026 | $4,608 | $497 |
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 162 | Jan 1, 2026 | $86,124 | $0 |
| DELTA DENTAL OF OHIO | Dental | 789 | Jan 1, 2026 | $57,214 | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | Vision | 207 | Jan 1, 2026 | $12,007 | $0 |
| FIRST STOP HEALTH, LLC | — | 115 | Jan 1, 2026 | $7,082 | $0 |
| MAGELLAN HEALTHCARE | — | 140 | Jan 1, 2026 | $2,931 | $0 |
Premium and claims on this contract
DELTA DENTAL OF OHIO, contract 789. For the contract year on this filing, the carrier reported $57,214 in premium earned and $45,003 in claims incurred. Dividing one by the other gives 79%.
- DELTA DENTAL OF OHIO, contract 789 reported $8,787 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.
Other plans filed by this employer
How this plan compares
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