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

King Mountain Tobacco Co. Inc.

Wholesale trade · White Swan, Washington · EIN ending 4581

Updated Filing received by DOL

King Mountain Tobacco Co. Inc., a wholesale trade employer in White Swan, Washington, reported 112 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 2 insurance contracts with no premium reported and $14,124 in broker commissions and fees. The plan is self-funded (the employer pays claims itself). The Department of Labor received the filing on May 5, 2026, before the deadline.

Participants
112
+3.7% vs 2023
Premiums filed
none
self-funded or not filed
Broker commissions + fees
$14,124
−8.3% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on King Mountain Tobacco Co. 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 King Mountain Tobacco Co. Inc. filed for 2024.

Broker or agentCommissionsFeesTotalContracts
Paynewest Insurance, Inc. · Missoula, MT$6,253$3,822$10,0751
Marsh McLennan Agency · Missoula, MT$3,301$0$3,3012
USI Insurance Services · Virginia Beach, VA$748$0$7481

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
Vision Service Planvision111—$1,001—
United of Omaha Life Insurance Companylife, long-term disability99—$13,123—

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 King Mountain Tobacco Co. 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
King Mountain Tobacco Co. Inc.
$14,124
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

$15,402$14,124Broker pay20232024
King Mountain Tobacco Co. Inc.: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants108112+3.7%
Premiums filed$0$0—
Broker commissions + fees$15,402$14,124−8.3%
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
King Mountain Tobacco Welfare Benefits Plan#501 · insurance, general assetsOctober 31, 2025May 5, 2026before deadline112

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 King Mountain Tobacco Co. Inc. pay in health insurance broker commissions in 2024?

King Mountain Tobacco Co. Inc.'s 2024 Form 5500 reports $14,124 in broker commissions and fees across 2 insurance contracts ($10,302 in commissions, $3,822 in fees), with Paynewest Insurance, Inc. receiving the largest share.

Is King Mountain Tobacco Co. Inc.'s health plan self-funded or fully insured?

The 2024 filing indicates the plan is self-funded (the employer pays claims itself).

How does King Mountain Tobacco Co. Inc.'s broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for King Mountain Tobacco Co. Inc. 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.