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

H&M Fashion USA, Inc.

Retail — stores, food, auto, clothing · New York, New York · EIN ending 8981

Updated Filing received by DOL

H&M Fashion USA, Inc., a retail — stores, food, auto, clothing employer in New York, New York, reported 5,642 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows $135,390 in insurance premiums across 7 contracts and $326,261 in broker commissions and fees, 5.0% of medical premium against a national median of 3.8% among plans that paid commissions in plan year 2024. The plan is a mix of insured and self-funded coverage. The Department of Labor received the filing on August 26, 2025, within the extension window.

Participants
5,642
−9.9% vs 2023
Premiums filed
$135,390
+0.2% vs 2023
Broker commissions + fees
$326,261
+160.6% vs 2023
Commission rate
5.0%
of medical premium · median 3.8%

Who was paid on H&M Fashion USA, Inc.'s plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract H&M Fashion USA, Inc. filed for 2024.

Broker or agentCommissionsFeesTotalContracts
Corporate Synergies · Camden, NJ$319,492$0$319,4922
Aegis International Ins. Co. · New York, NY$6,769$0$6,7691

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
Triple S Salud, Inc.health, dental, life, prescription drug18$135,390$6,7695.0%
Cigna Health and Life Insurance Company and Affiliatesdental5,376———
Cigna Health and Life Insurance Companycoverage not coded1,270—$283,674—
Evernorth Care Solutions, Inc.coverage not coded33,050———
Hawaii Medical Service Associationhealth, prescription drug11———
Metlife Legal Planscoverage not coded484———
New York Life Group Insurance Company of New Yorklife, long-term disability5,492—$35,818—

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 H&M Fashion USA, Inc. 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
H&M Fashion USA, Inc.
$326,261
Commission rate, % of medical premium
H&M Fashion USA, Inc.
5.0%

Premium per covered person on medical contracts: $7,522 a year (national median $7,274).

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

Year over year

$135,076$135,390Premiums$125,197$326,261Broker pay20232024
H&M Fashion USA, Inc.: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants6,2615,642−9.9%
Premiums filed$135,076$135,390+0.2%
Broker commissions + fees$125,197$326,261+160.6%
Commission rate5.0%5.0%−0.0 pts

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
H&M Fashion USA, Inc. Welfare Benefit Program#501 · insurance, general assetsDecember 31, 2024August 26, 2025within extension5,642

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 H&M Fashion USA, Inc. pay in health insurance broker commissions in 2024?

H&M Fashion USA, Inc.'s 2024 Form 5500 reports $326,261 in broker commissions and fees across 7 insurance contracts ($326,261 in commissions, $0 in fees), with Corporate Synergies receiving the largest share.

Is H&M Fashion USA, Inc.'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 Triple S Salud, Inc., Hawaii Medical Service Association.

How does H&M Fashion USA, Inc.'s broker compensation compare with similar employers?

H&M Fashion USA, Inc. paid 5.0% of medical premium in commissions and fees. The median for employers with 5,000+ participants is 4.8%, and the median in New York is 3.7%. Percentages are computed only on fully insured medical contracts with filed premiums.

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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.