Form 5500 · Employee benefit plan · ST. CLOUD, MN
COBORN'S INCORPORATED
COBORN'S INCORPORATED of ST. CLOUD, MN files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BCINSOURCING LLC. Coverage is written through PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 41-0824910 · plan 506 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | Life | 1,861 | December | $134,142 |
| LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 3,055 | December | $64,353 |
| HARTFORD LIFE AND ACCIDENT | Life | 253 | December | $6,014 |
Questions
Who is COBORN'S INCORPORATED's benefits broker?
Per its most recent Form 5500 Schedule A, COBORN'S INCORPORATED's broker of record is BCINSOURCING LLC.
What insurance carrier does COBORN'S INCORPORATED use?
COBORN'S INCORPORATED's benefit plan is written through PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY, among 3 disclosed carriers.
When does COBORN'S INCORPORATED's group plan renew?
The most recent Schedule A policy period for COBORN'S INCORPORATED ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from COBORN'S INCORPORATED's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.