Form 5500 · Employee benefit plan · JANESVILLE, WI
BLAIN SUPPLY, INC.
BLAIN SUPPLY, INC. of JANESVILLE, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is ACRISURE, LLC. Coverage is written through STANDARD INSURANCE COMPANY and 6 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1104710 · plan 501 · as of Aug 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| STANDARD INSURANCE COMPANY | — | 922 | June | $428,692 | $107,915 |
| STANDARD INSURANCE COMPANY | — | 1,128 | June | $720,825 | $73,624 |
| DELTA DENTAL OF WISCONSIN | Dental | 1,034 | June | $621,910 | $73,199 |
| STANDARD INSURANCE COMPANY | Disability | 1,060 | June | $230,385 | $26,522 |
| STANDARD INSURANCE COMPANY | Life | 2,533 | June | $357,260 | $25,961 |
| DELTA DENTAL OF WISCONSIN | Dental | 461 | June | $151,699 | $19,130 |
| VISION SERVICE PLAN | Vision | 2,231 | June | $156,515 | $15,624 |
Questions
Who is BLAIN SUPPLY, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, BLAIN SUPPLY, INC.'s broker of record is ACRISURE, LLC.
What insurance carrier does BLAIN SUPPLY, INC. use?
BLAIN SUPPLY, INC.'s benefit plan is written through STANDARD INSURANCE COMPANY, among 7 disclosed carriers.
When does BLAIN SUPPLY, INC.'s group plan renew?
The most recent Schedule A policy period for BLAIN SUPPLY, INC. ended in June. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from BLAIN SUPPLY, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.