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

Experigreen MGT LLC

Administrative & support services · Mishawaka, Indiana · EIN ending 2605

Updated Filing received by DOL

Experigreen MGT LLC, an administrative & support services employer in Mishawaka, Indiana, reported 183 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 4 insurance contracts with no premium reported and $70,762 in broker commissions and fees. The plan is fully insured (an insurance carrier pays claims). The Department of Labor received the filing on July 29, 2025, before the deadline.

Participants
183
+83.0% vs 2023
Premiums filed
none
premium not reported on 1 medical contract
Broker commissions + fees
$70,762
+67.1% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on Experigreen MGT 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 Experigreen MGT LLC filed for 2024.

Broker or agentCommissionsFeesTotalContracts
J.D. Resley Associates Inc · Indianapolis, IN$67,282$0$67,2822
John Resley · Indianapolis, IN$2,309$0$2,3091
Indiana Chamber Ins. Agency, Inc. · Indianapolis, IN$1,171$0$1,1711

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
Anthem Insurance Companies, Inchealth, dental, prescription drug, PPO241—$67,383—
Metropolitan Life Insurance Companyvision, long-term disability240—$2,309—
Anthem Life Insurance Companylife297———
Standard Insurance Companylife318—$1,070—

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 Experigreen MGT 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.

Broker commissions + fees, dollars
Experigreen MGT LLC
$70,762
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

$42,357$70,762Broker pay20232024
Experigreen MGT LLC: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants100183+83.0%
Premiums filed$0$0not comparable
Broker commissions + fees$42,357$70,762+67.1%
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
Experigreen MGT LLC Welfare Benefit Plan#501 · insuranceDecember 31, 2024July 29, 2025before deadline183

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 Experigreen MGT LLC pay in health insurance broker commissions in 2024?

Experigreen MGT LLC's 2024 Form 5500 reports $70,762 in broker commissions and fees across 4 insurance contracts ($70,762 in commissions, $0 in fees), with J.D. Resley Associates Inc receiving the largest share.

Is Experigreen MGT LLC's health plan self-funded or fully insured?

The 2024 filing indicates the plan is fully insured (an insurance carrier pays claims). Medical coverage is written by Anthem Insurance Companies, Inc.

How does Experigreen MGT LLC's broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Experigreen MGT LLC 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.