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

Peach State Roofing

Construction · Lawrenceville, Georgia · EIN ending 0786

Updated Filing received by DOL

Peach State Roofing, a construction employer in Lawrenceville, Georgia, reported 125 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 7 insurance contracts with no premium reported and $101,348 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 20, 2026, before the deadline.

Participants
125
+16.8% vs 2023
Premiums filed
none
premium not reported on 1 medical contract
Broker commissions + fees
$101,348
+35.3% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on Peach State Roofing's plan

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

Broker or agentCommissionsFeesTotalContracts
EPIC Insurance Brokers · Concord, CA$20,597$80,751$101,34813

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
Life Insurance Company of North Americacoverage not coded119—$155—
Life Insurance Company of North Americalife119—$444—
Life Insurance Company of North Americalong-term disability46—$3,288—
Cigna Health and Life Insurance Companyhealth, dental, vision210—$89,677—
Life Insurance Company of North Americashort-term disability50—$2,491—
Life Insurance Company of North Americacoverage not coded89—$1,011—
Life Insurance Company of North Americalife89—$4,282—

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 Peach State Roofing 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
Peach State Roofing
$101,348
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

$74,917$101,348Broker pay20232024
Peach State Roofing: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants107125+16.8%
Premiums filed$0$0not comparable
Broker commissions + fees$74,917$101,348+35.3%
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
Peach State Roofing Employee Benefit Plan#501 · insurance, general assetsJuly 31, 2025February 20, 2026before deadline125

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 Peach State Roofing pay in health insurance broker commissions in 2024?

Peach State Roofing's 2024 Form 5500 reports $101,348 in broker commissions and fees across 7 insurance contracts ($20,597 in commissions, $80,751 in fees), with EPIC Insurance Brokers receiving the largest share.

Is Peach State Roofing'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 Cigna Health and Life Insurance Company.

How does Peach State Roofing's broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Peach State Roofing 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.