Form 5500 · Employee benefit plan · DERIDDER, LA
AMERISAFE, INC.
AMERISAFE, INC. of DERIDDER, LA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HUB INTERNATIONAL MIDWEST LIMITED. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 6 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 75-2069407 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 536 | December | $156,733 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 795 | December | $24,020 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life, Disability | 342 | December | $13,398 |
| CONTINENTAL AMERICAN INSURANCE COMPANY | — | 38 | December | $10,821 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 79 | December | $6,103 |
| AMERITAS LIFE INSURANCE CORPORATION | Vision | 536 | December | $3,563 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 8 | December | $1,105 |
Questions
Who is AMERISAFE, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, AMERISAFE, INC.'s broker of record is HUB INTERNATIONAL MIDWEST LIMITED.
What insurance carrier does AMERISAFE, INC. use?
AMERISAFE, INC.'s benefit plan is written through UNITEDHEALTHCARE INSURANCE COMPANY, among 7 disclosed carriers.
When does AMERISAFE, INC.'s group plan renew?
The most recent Schedule A policy period for AMERISAFE, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from AMERISAFE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.