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

Haselwood Motor Co.

Retail — stores, food, auto, clothing · Bremerton, Washington · EIN ending 2497

Updated Filing received by DOL

Haselwood Motor Co., a retail — stores, food, auto, clothing employer in Bremerton, Washington, reported 444 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows $262,795 in insurance premiums across 3 contracts and $19,069 in broker commissions and fees. The plan is a mix of insured and self-funded coverage. The Department of Labor received the filing on February 9, 2026, within the extension window.

Participants
444
+19.4% vs 2023
Premiums filed
$262,795
+3.5% vs 2023
Broker commissions + fees
$19,069
−71.4% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on Haselwood Motor Co.'s plan

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

Broker or agentCommissionsFeesTotalContracts
Brown & Brown · Tacoma, WA$17,255$1,814$19,0694

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
Delta Dental of Washingtondental591$262,795$13,1405.0%
Ameritas Life Insurance Corp.vision987—$5,929—
American Heritage Life Insurance Companyhealth, life, short-term disability419———

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 Haselwood Motor Co. 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
Haselwood Motor Co.
$19,069
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

$253,798$262,795Premiums$66,752$19,069Broker pay20232024
Haselwood Motor Co.: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants372444+19.4%
Premiums filed$253,798$262,795+3.5%
Broker commissions + fees$66,752$19,069−71.4%
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
Haselwood Motor Co. Employee Benefits Plan#501 · insurance, general assetsApril 30, 2025February 9, 2026within extension444

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 Haselwood Motor Co. pay in health insurance broker commissions in 2024?

Haselwood Motor Co.'s 2024 Form 5500 reports $19,069 in broker commissions and fees across 3 insurance contracts ($17,255 in commissions, $1,814 in fees), with Brown & Brown receiving the largest share.

Is Haselwood Motor Co.'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 American Heritage Life Insurance Company.

How does Haselwood Motor Co.'s broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Haselwood Motor Co. 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.

Get the full write-up

Send the full findings to your inbox.

A specialist writes up every finding for Haselwood Motor Co. with the methodology and public-source citations, in a form you can forward to your CFO or counsel. Tick the box if you also want a 15-minute walkthrough call.

We don't sell your email. By submitting, you agree that BenefitsLedger and its benefits advisory partner, WellthCare, may email or call you about these findings. Opt out anytime by replying. See our privacy policy.

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.