Form 5500 · Employee benefit plan · SPOKANE, WA
BLACK REALTY, INC.
BLACK REALTY, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is COLLEEN M. STEVENS. Coverage is written through ASURIS NORTHWEST HEALTH and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-0821033 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| ASURIS NORTHWEST HEALTH | Health | 87 | December | $35,647 |
| AFLAC | — | 27 | December | $5,301 |
| PRINCIPAL LIFE INSURANCE COMPANY | Dental, Vision, Life | 143 | December | $5,194 |
Questions
Who is BLACK REALTY, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, BLACK REALTY, INC.'s broker of record is COLLEEN M. STEVENS.
What insurance carrier does BLACK REALTY, INC. use?
BLACK REALTY, INC.'s benefit plan is written through ASURIS NORTHWEST HEALTH, among 3 disclosed carriers.
When does BLACK REALTY, INC.'s group plan renew?
The most recent Schedule A policy period for BLACK REALTY, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from BLACK REALTY, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.