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Form 5500 · Employee benefit plan · PHOENIX, AZ

ADOBE DRYWALL, LLC

ADOBE DRYWALL, LLC of PHOENIX, AZ files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BLACK GOULD & ASSOCIATES. Coverage is written through DEARBORN LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in June.

Benefits broker of record
Plan renews
June

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 86-1011468 · plan 502 · as of Jul 2026

Participants
159
Carriers on file
4
Disclosed commissions
$21,553
Renewal month
June

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
DEARBORN LIFE INSURANCE COMPANY118June$10,815
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth, Dental206June$8,110
UNITEDHEALTHCARE INSURANCE COMPANYLife136June$2,323
AVESIS INSURANCE INCORPORATEDVision47June$305

Questions

Who is ADOBE DRYWALL, LLC's benefits broker?

Per its most recent Form 5500 Schedule A, ADOBE DRYWALL, LLC's broker of record is BLACK GOULD & ASSOCIATES.

What insurance carrier does ADOBE DRYWALL, LLC use?

ADOBE DRYWALL, LLC's benefit plan is written through DEARBORN LIFE INSURANCE COMPANY, among 4 disclosed carriers.

When does ADOBE DRYWALL, LLC's group plan renew?

The most recent Schedule A policy period for ADOBE DRYWALL, LLC ended in June. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from ADOBE DRYWALL, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.