Form 5500 · Employee benefit plan · BUENA PARK, CA
CJ FOODVILLE USA
CJ FOODVILLE USA of BUENA PARK, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HUB INTERNATIONAL INSURANCE SERVICE. Coverage is written through FOUR EVER LIFE INSURANCE CO. and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-0848952 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| FOUR EVER LIFE INSURANCE CO. | Health | 195 | December | $136,708 |
| AMERITAS LIFE INSURANCE CORP | Dental | 367 | December | $13,715 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 168 | December | $460 |
| FOUR EVER LIFE INSURANCE CO. | Health | 195 | December | $383 |
Questions
Who is CJ FOODVILLE USA's benefits broker?
Per its most recent Form 5500 Schedule A, CJ FOODVILLE USA's broker of record is HUB INTERNATIONAL INSURANCE SERVICE.
What insurance carrier does CJ FOODVILLE USA use?
CJ FOODVILLE USA's benefit plan is written through FOUR EVER LIFE INSURANCE CO., among 4 disclosed carriers.
When does CJ FOODVILLE USA's group plan renew?
The most recent Schedule A policy period for CJ FOODVILLE USA ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from CJ FOODVILLE USA's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.