Form 5500 · Employee benefit plan · GILBERT, AZ
BUSHTEX INC.
BUSHTEX INC. of GILBERT, AZ files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BLACK GOULD & ASSOC. Coverage is written through DELTA DENTAL OF ARIZONA and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-0132017 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| DELTA DENTAL OF ARIZONA | Dental | 36 | December | $2,443 |
| DELTA DENTAL OF ARIZONA | Vision | 26 | December | $221 |
| ALL SAVERS INSURANCE COMPANY | Stop-loss | 19 | December | $0 |
Questions
Who is BUSHTEX INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, BUSHTEX INC.'s broker of record is BLACK GOULD & ASSOC.
What insurance carrier does BUSHTEX INC. use?
BUSHTEX INC.'s benefit plan is written through DELTA DENTAL OF ARIZONA, among 3 disclosed carriers.
When does BUSHTEX INC.'s group plan renew?
The most recent Schedule A policy period for BUSHTEX INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from BUSHTEX INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.