BenefitsLedger
Employer health plan record · Plan year 2024 · Form 5500

Blue Mountain Construction Services

Construction · Vacaville, California · EIN ending 5653

Updated Filing received by DOL

Blue Mountain Construction Services, a construction employer in Vacaville, California, reported 291 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 8 insurance contracts with no premium reported and $144,401 in broker commissions and fees. The plan is a mix of insured and self-funded coverage. The Department of Labor received the filing on January 14, 2026, within the extension window.

Participants
291
+1.7% vs 2023
Premiums filed
none
premium not reported on 2 medical contracts
Broker commissions + fees
$144,401
+31.4% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on Blue Mountain Construction Services's plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Blue Mountain Construction Services filed for 2024.

Broker or agentCommissionsFeesTotalContracts
EPIC Insurance Brokers · Concord, CA$126,696$2,743$129,43911
Connell, John F · Rancho Cordova, CA$14,962$0$14,9621

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2024, as published in EBSA's 2024 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.

Insurance contracts and carriers

Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.

Carrier · coverageCoveredPremiumBroker payRate
Hartford Life and Accidentcoverage not coded83—$2,160—
Life Insurance Company of North Americacoverage not coded75—$524—
Delta Dental of Californiadental52—$1,011—
Kaiser Foundation Health Plan, Inc.health, prescription drug, HMO311—$108,203—
Life Insurance Company of North Americalife410—$13,475—
Life Insurance Company of North Americalong-term disability33—$2,829—
Vision Service Planvision155—$1,237—
Western Health Advantagehealth, prescription drug, HMO33—$14,962—

Source: DOL Form 5500 Schedule A, plan year 2024. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How Blue Mountain Construction Services compares

Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.

Broker commissions + fees, dollars
Blue Mountain Construction Services
$144,401
Commission rate, % of medical premium

Not computable: no insured medical premium on the filing.

Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.

Year over year

$109,879$144,401Broker pay20232024
Blue Mountain Construction Services: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants286291+1.7%
Premiums filed$0$0not comparable
Broker commissions + fees$109,879$144,401+31.4%
Commission rate———

Source: DOL Form 5500 filings for plan years 2023 and 2024.

Filings and timeliness

Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.

PlanPlan year endReceived by DOLTimingParticipants
Blue Mountain Construction Services, Inc. Welfare Plan#501 · insurance, general assetsApril 30, 2025January 14, 2026within extension291

Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.

How much did Blue Mountain Construction Services pay in health insurance broker commissions in 2024?

Blue Mountain Construction Services's 2024 Form 5500 reports $144,401 in broker commissions and fees across 8 insurance contracts ($141,658 in commissions, $2,743 in fees), with EPIC Insurance Brokers receiving the largest share.

Is Blue Mountain Construction Services's health plan self-funded or fully insured?

The 2024 filing indicates the plan is a mix of insured and self-funded coverage. Medical coverage is written by Kaiser Foundation Health Plan, Inc., Western Health Advantage.

How does Blue Mountain Construction Services's broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Blue Mountain Construction Services because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 200-499 participants that disclosed broker pay reported a median of $77,013.

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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.