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

Licking/Knox Goodwill

Updated Filing received by DOL

Licking/Knox Goodwill, a retail — general merchandise, sporting goods employer in Newark, Ohio, reported 199 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 5 insurance contracts with no premium reported and $39,960 in broker commissions and fees. The plan is self-funded (the employer pays claims itself, with stop-loss coverage from HCC Life Insurance Company). The Department of Labor received the filing on December 18, 2025, before the deadline.

Participants
199
−15.0% vs 2023
Premiums filed
none
self-funded or not filed
Broker commissions + fees
$39,960
+61.4% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on Licking/Knox Goodwill's plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Licking/Knox Goodwill filed for 2024.

Broker or agentCommissionsFeesTotalContracts
Rankin and Rankin Inc · Zanesville, OH$33,139$0$33,1395
Gis Benefits Inc · Morris, IL$5,033$1,242$6,2753
The Worksite Group · Columbus, OH$319$32$3513
Gis Benefits in · Morris, IL$282$53$3351
Boon Chapman Benefit Administrators · Austin, TX$0$0$03

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
Metropolitan Life Insurance Companydental, vision, life, short-term disability, long-term disability226—$17,311—
HCC Life Insurance Companystop-loss67—$21,329—
Metropolitan Life Insurance Companycoverage not coded22—$566—
Metropolitan Life Insurance Companycoverage not coded60—$93—
Metropolitan Life Insurance Companyindemnity31—$661—

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 Licking/Knox Goodwill 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
Licking/Knox Goodwill
$39,960
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

$24,763$39,960Broker pay20232024
Licking/Knox Goodwill: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants234199−15.0%
Premiums filed$0$0—
Broker commissions + fees$24,763$39,960+61.4%
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
Licking/Knox Goodwill Employee Benefits Plan#501 · insurance, general assetsJune 30, 2025December 18, 2025before deadline199

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 Licking/Knox Goodwill pay in health insurance broker commissions in 2024?

Licking/Knox Goodwill's 2024 Form 5500 reports $39,960 in broker commissions and fees across 5 insurance contracts ($38,745 in commissions, $1,215 in fees), with Rankin and Rankin Inc receiving the largest share.

Is Licking/Knox Goodwill's health plan self-funded or fully insured?

The 2024 filing indicates the plan is self-funded (the employer pays claims itself, with stop-loss coverage from HCC Life Insurance Company).

How does Licking/Knox Goodwill's broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Licking/Knox Goodwill 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.