Form 5500 · Employee benefit plan · LEWISBURG, PA
COUNTRY CUPBOARD INN
Public Form 5500 records show how COUNTRY CUPBOARD INN (LEWISBURG, PA) structures its employee benefits. Its broker of record is BROWN & BROWN OF PA LP. Coverage is written through DELTA DENTAL OF PENNSYLVANIA and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-1886253 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| DELTA DENTAL OF PENNSYLVANIA | Dental | 35 | December | $769 |
| VISION BENEFITS OF AMERICA | Vision | 27 | December | $121 |
| CRUM & FORSTER | Stop-loss | 31 | December | $0 |
| OPTUM HEALTH (UNIMERICA INSURANCE COMPANY) | Stop-loss | 0 | December | $0 |
Questions
Who is COUNTRY CUPBOARD INN's benefits broker?
Per its most recent Form 5500 Schedule A, COUNTRY CUPBOARD INN's broker of record is BROWN & BROWN OF PA LP.
What insurance carrier does COUNTRY CUPBOARD INN use?
COUNTRY CUPBOARD INN's benefit plan is written through DELTA DENTAL OF PENNSYLVANIA, among 4 disclosed carriers.
When does COUNTRY CUPBOARD INN's group plan renew?
The most recent Schedule A policy period for COUNTRY CUPBOARD INN ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from COUNTRY CUPBOARD INN's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.