Form 5500 · Employee benefit plan · WHITEVILLE, NC
BLACK'S TIRE SERVICE, INC.
Public Form 5500 records show how BLACK'S TIRE SERVICE, INC. (WHITEVILLE, NC) structures its employee benefits. Its broker of record is HAROLD W WELLS, IV. Coverage is written through BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA and 2 other carriers. The plan's most recent policy period ended in February.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 57-0828077 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Health, Vision | 855 | February | $133,546 |
| AMERITAS LIFE INSURANCE CORP | Dental, Vision | 1,434 | February | $30,443 |
| USABLE LIFE | Life | 930 | February | $7,395 |
Questions
Who is BLACK'S TIRE SERVICE, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, BLACK'S TIRE SERVICE, INC.'s broker of record is HAROLD W WELLS, IV.
What insurance carrier does BLACK'S TIRE SERVICE, INC. use?
BLACK'S TIRE SERVICE, INC.'s benefit plan is written through BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA, among 3 disclosed carriers.
When does BLACK'S TIRE SERVICE, INC.'s group plan renew?
The most recent Schedule A policy period for BLACK'S TIRE SERVICE, INC. ended in February. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from BLACK'S TIRE SERVICE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.