Form 5500 · Employee benefit plan · GRANTSBURG, WI
BURNETT DAIRY COOPERATIVE
BURNETT DAIRY COOPERATIVE of GRANTSBURG, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is M3 INSURANCE SOLUTIONS INC.. Coverage is written through LIFE INSURANCE COMPANY OF NORTH AMERICA and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1085908 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 283 | December | $9,188 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 425 | December | $8,727 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | — | 7 | December | $1,194 |
| VISION SERVICE PLAN | Vision | 152 | December | $1,093 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 346 | December | $717 |
Questions
Who is BURNETT DAIRY COOPERATIVE's benefits broker?
Per its most recent Form 5500 Schedule A, BURNETT DAIRY COOPERATIVE's broker of record is M3 INSURANCE SOLUTIONS INC..
What insurance carrier does BURNETT DAIRY COOPERATIVE use?
BURNETT DAIRY COOPERATIVE's benefit plan is written through LIFE INSURANCE COMPANY OF NORTH AMERICA, among 5 disclosed carriers.
When does BURNETT DAIRY COOPERATIVE's group plan renew?
The most recent Schedule A policy period for BURNETT DAIRY COOPERATIVE ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from BURNETT DAIRY COOPERATIVE's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.