Form 5500 · Employee benefit plan · AUMSVILLE, OR
BLAZER INDUSTRIES, INC.
BLAZER INDUSTRIES, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is K.P.D. INSURANCE, LLC. Coverage is written through PRINCIPAL LIFE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-0719710 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| PRINCIPAL LIFE INSURANCE COMPANY | Life, Disability | 144 | June | $7,342 |
| WILLAMETTE DENTAL INSURANCE, INC. | Dental | 77 | June | $1,659 |
| VISION SERVICE PLAN | Vision | 94 | June | $877 |
| MEDICAL AIR SERVICES ASSOCIATION, INC. | Health | 18 | June | $536 |
| CANOPY | — | 158 | June | $0 |
Questions
Who is BLAZER INDUSTRIES, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, BLAZER INDUSTRIES, INC.'s broker of record is K.P.D. INSURANCE, LLC.
What insurance carrier does BLAZER INDUSTRIES, INC. use?
BLAZER INDUSTRIES, INC.'s benefit plan is written through PRINCIPAL LIFE INSURANCE COMPANY, among 5 disclosed carriers.
When does BLAZER INDUSTRIES, INC.'s group plan renew?
The most recent Schedule A policy period for BLAZER INDUSTRIES, INC. ended in June. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from BLAZER INDUSTRIES, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.