Form 5500 · Employee benefit plan · UTICA, MI
THE ROMINE GROUP
THE ROMINE GROUP of UTICA, MI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MFC BENEFITS LLC. Coverage is written through AETNA LIFE INSURANCE CO. and 1 other carrier. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 32-0015643 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 12 insured contracts covering dental, vision, life, disability and stop-loss; the largest, with AETNA LIFE INSURANCE CO., covers 565 people.
The only insured piece of the health benefit is stop-loss coverage — the plan itself is self-funded, so premium and commission here reflect the stop-loss contract, not medical premium.
Reported premium across the insured contracts is $1,781,136, with $52,966 in disclosed broker commissions — about 3% of premium.
The most recent policy period ended in August, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
MFC BENEFITS LLC is the broker of record on 11 of the 12 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 288 | August | $70,442 | $10,566 |
| AETNA LIFE INSURANCE CO. | Vision | 1,100 | August | $91,861 | $9,108 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Dental | 533 | August | $338,196 | $7,160 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 660 | August | $255,707 | $6,529 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 660 | August | $86,768 | $4,919 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 660 | August | $88,771 | $4,888 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 85 | August | $33,399 | $3,214 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Dental | 69 | August | $41,082 | $2,277 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 85 | August | $11,587 | $1,738 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 39 | August | $9,577 | $1,437 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 85 | August | $11,304 | $1,130 |
| AETNA LIFE INSURANCE CO. | Stop-loss | 565 | August | $742,442 | $0 |
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