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

Bollman Hat Company

Manufacturing — food & textile · Adamstown, Pennsylvania · EIN ending 2616

Updated Filing received by DOL

Bollman Hat Company, a manufacturing — food & textile employer in Adamstown, Pennsylvania, reported 185 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 7 insurance contracts with no premium reported and $18,810 in broker commissions and fees. The plan is self-funded (the employer pays claims itself, with stop-loss coverage from Avalon Insurance Company). The Department of Labor received an amended filing on October 15, 2025; the original filing date is not in the public dataset.

Participants
185
−19.6% vs 2023
Premiums filed
none
self-funded or not filed
Broker commissions + fees
$18,810
−82.9% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on Bollman Hat Company's plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Bollman Hat Company filed for 2024.

Broker or agentCommissionsFeesTotalContracts
Brown & Brown · Conshohocken, PA$18,810$0$18,8109

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
Eyemed Vision Carevision164———
Avalon Insurance Companystop-loss147———
United of Omaha Life Insurance Companylong-term disability63—$3,357—
United of Omaha Life Insurance Companylife169—$2,618—
United of Omaha Life Insurance Companycoverage not coded28—$1,459—
United of Omaha Life Insurance Companycoverage not coded49—$4,163—
Delta Dental of Pennsylvaniadental224—$7,213—

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 Bollman Hat Company 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
Bollman Hat Company
$18,810
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

$109,842$18,810Broker pay20232024
Bollman Hat Company: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants230185−19.6%
Premiums filed$0$0—
Broker commissions + fees$109,842$18,810−82.9%
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
Health, Welfare and Flexible Benefits Plan for Bollman Hat Company#502 · amended · insurance, general assets, trustDecember 31, 2024October 15, 2025amended filing; original date not in data185

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 Bollman Hat Company pay in health insurance broker commissions in 2024?

Bollman Hat Company's 2024 Form 5500 reports $18,810 in broker commissions and fees across 7 insurance contracts ($18,810 in commissions, $0 in fees), with Brown & Brown receiving the largest share.

Is Bollman Hat Company's health plan self-funded or fully insured?

The 2024 filing indicates the plan is self-funded (the employer pays claims itself, with stop-loss coverage from Avalon Insurance Company).

How does Bollman Hat Company's broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Bollman Hat Company because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 100-199 participants that disclosed broker pay reported a median of $53,852.

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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.