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Form 5500 · Employee benefit plan · SOUTH CHARLESTON, OH

YAMADA NORTH AMERICA, INC.

The filing calls this plan YAMADA NORTH AMERICA, INC. WELFARE BENEFIT PLAN.

Public Form 5500 records show how YAMADA NORTH AMERICA, INC. of SOUTH CHARLESTON, OH, a manufacturing employer, structures its employee benefits. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through COMMUNITY INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in October.

Benefits broker of record
Policy year ends
Octoberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 31-1240256 · plan 501 · plan year 2025, filed Jan 22, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

57 other employer plans in Ohio have policy years ending in October. 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.

All participants at the start of the year
396
Active at start of year
394
Active at end of year
410
Disclosed commissions
$118,203
Typical renewal
November 1

Benefits declared on this filing

Healthinsured — COMMUNITY INSURANCE COMPANY292 of 396 participants (74%) on the largest contract
Dentalinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY336 of 396 participants (85%)
Visioninsured — FIDELITY SECURITY LIFE INSURANCE COMPANY422 of 396 participants
Lifeinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY374 of 396 participants (94%)
Disabilityinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY211 of 396 participants (53%) on the largest contract

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 8 insured contracts covering health, dental, vision, life and disability; the largest, with COMMUNITY INSURANCE COMPANY, covers 292 people.

Reported premium across the insured contracts is $4,322,640, with $118,203 in disclosed broker commissions — about 2.7% of premium.

The health contract's policy period ended in October, while at least one ancillary line's policy period ended in September. The plan is on a split renewal cycle.

USI INSURANCE SERVICES LLC is the broker of record on 2 of the 8 contracts; the rest name a different broker or none.

4 carriers appear on the filing, including COMMUNITY INSURANCE COMPANY, UNITED OF OMAHA LIFE INSURANCE COMPANY, NIPPON LIFE INSURANCE COMPANY OF AMERICA and FIDELITY SECURITY LIFE INSURANCE COMPANY. COMMUNITY INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
COMMUNITY INSURANCE COMPANYHealth292Nov 1, 2024$3,846,531$91,566
UNITED OF OMAHA LIFE INSURANCE COMPANY—113Nov 1, 2024$65,815$11,847
UNITED OF OMAHA LIFE INSURANCE COMPANYDental336Nov 1, 2024$157,339$7,867
NIPPON LIFE INSURANCE COMPANY OF AMERICAHealth21Jan 1, 2025$78,876$4,134
FIDELITY SECURITY LIFE INSURANCE COMPANYVision422Oct 1, 2024$25,710$2,789
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability211Nov 1, 2024$96,677$0
UNITED OF OMAHA LIFE INSURANCE COMPANYLife374Nov 1, 2024$38,641$0
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability94Nov 1, 2024$13,051$0

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
YAMADA NORTH AMERICA, INC.
EIN 31-1240256

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 500 employees, 13 recordable cases, 456 days away from work.

EmployeesThe company's own average for the year
500
Hours worked
813,036
Recordable cases
13
Days away from work
456

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

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Renewal calendar

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