Country Life, LLC
Updated Filing received by DOL
Country Life, LLC, an other services employer in Hauppauge, New York, reported 204 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 10 insurance contracts with no premium reported and $17,417 in broker commissions and fees. The plan is self-funded (the employer pays claims itself). The Department of Labor received the filing on August 19, 2025, within the extension window.
Who was paid on Country Life, LLC's plan
Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Country Life, LLC filed for 2024.
| Broker or agent | Commissions | Fees | Total | Contracts |
|---|---|---|---|---|
| Associated Agencies Inc. · Rolling Meadow, IL | $11,899 | $0 | $11,899 | 8 |
| HUB International · Woodbury, NY | $0 | $3,251 | $3,251 | 1 |
| The Paul Revere Life Insurance · Columbia, SC | $1,584 | $18 | $1,602 | 1 |
| Brittney Bello · Granite Bay, CA | $571 | $0 | $571 | 6 |
| Colonial Life & Accident · Columbia, SC | $50 | $0 | $50 | 1 |
| Leann O'hara · Terrace, NY | $44 | $0 | $44 | 1 |
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 · coverage | Covered | Premium | Broker pay | Rate |
|---|---|---|---|---|
| Colonial Life & Accident Insurance Companylife | 1 | — | $50 | — |
| Mutual of Omaha Insurance Companyshort-term disability | 33 | — | $1,344 | — |
| Mutual of Omaha Insurance Companylife | 136 | — | $312 | — |
| Guardianvision | 67 | — | $726 | — |
| The Paul Revere Life Insurance Companylife | 33 | — | $1,602 | — |
| Companion Life Insurance Companylife | 23 | — | $1,598 | — |
| Companion Life Insurance Companylife | 136 | — | $1,616 | — |
| Aetna Life Insurance Companydental | 149 | — | $6,908 | — |
| Mutual of Omaha Insurance Companycoverage not coded | 23 | — | $68 | — |
| Mutual of Omaha Insurance Companylong-term disability | 136 | — | $3,193 | — |
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 Country Life, LLC 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.
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
| 2023 | 2024 | Change | |
|---|---|---|---|
| Participants | 218 | 204 | −6.4% |
| Premiums filed | $0 | $0 | — |
| Broker commissions + fees | $73,893 | $17,417 | −76.4% |
| 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.
| Plan | Plan year end | Received by DOL | Timing | Participants |
|---|---|---|---|---|
| Country Life Vitamins Benefit Plan#501 · insurance, general assets | December 31, 2024 | August 19, 2025 | within extension | 204 |
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 Country Life, LLC pay in health insurance broker commissions in 2024?
Country Life, LLC's 2024 Form 5500 reports $17,417 in broker commissions and fees across 10 insurance contracts ($14,148 in commissions, $3,269 in fees), with Associated Agencies Inc. receiving the largest share.
Is Country Life, LLC's health plan self-funded or fully insured?
The 2024 filing indicates the plan is self-funded (the employer pays claims itself).
How does Country Life, LLC's broker compensation compare with similar employers?
A commission-to-premium ratio cannot be computed for Country Life, LLC 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.