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

Polysciences, Inc.

Updated Filing received by DOL

Polysciences, Inc., a manufacturing — chemical, wood, plastics employer in Warrington, Pennsylvania, reported 262 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 9 insurance contracts with no premium reported and $47,463 in broker commissions and fees. The plan is self-funded (the employer pays claims itself, with stop-loss coverage from Sun Life Assurance Company of Canada). The Department of Labor received the filing on October 17, 2025, before the deadline.

Participants
262
−10.0% vs 2023
Premiums filed
none
self-funded or not filed
Broker commissions + fees
$47,463
+526.9% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on Polysciences, 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 Polysciences, Inc. filed for 2024.

Broker or agentCommissionsFeesTotalContracts
Birch Benefits, LLC · King of Prussia, PA$42,513$4,950$47,46315

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
Sun Life Assurance Company of Canadastop-loss186———
United of Omaha Life Insurance Companylong-term disability217—$14,707—
United of Omaha Life Insurance Companylife253—$8,261—
United of Omaha Life Insurance Companycoverage not coded55—$632—
United of Omaha Life Insurance Companycoverage not coded62—$1,155—
United of Omaha Life Insurance Companyshort-term disability217—$8,610—
United of Omaha Life Insurance Companycoverage not coded41—$2,648—
United of Omaha Life Insurance Companycoverage not coded103—$3,668—
Sun Life Assurance Company of Canadadental, vision48—$7,782—

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 Polysciences, 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
Polysciences, Inc.
$47,463
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

$7,571$47,463Broker pay20232024
Polysciences, Inc.: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants291262−10.0%
Premiums filed$0$0—
Broker commissions + fees$7,571$47,463+526.9%
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
Polysciences, Inc. Employee Benefit Plan#502 · insurance, general assetsJune 30, 2025October 17, 2025before deadline262

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 Polysciences, Inc. pay in health insurance broker commissions in 2024?

Polysciences, Inc.'s 2024 Form 5500 reports $47,463 in broker commissions and fees across 9 insurance contracts ($42,513 in commissions, $4,950 in fees), with Birch Benefits, LLC receiving the largest share.

Is Polysciences, Inc.'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 Sun Life Assurance Company of Canada).

How does Polysciences, Inc.'s broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Polysciences, Inc. 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.

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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.