Form 5500 · Employee benefit plan · AMMON, ID
COUNTRY SUPPLIER
COUNTRY SUPPLIER of AMMON, ID files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HUB INTERNATIONAL MIDWEST LIMITED. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 92-1096110 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 845 | May | $73,334 |
| AMERITAS LIFE INSURANCE CORP. | Dental, Vision | 1,287 | May | $55,449 |
| TRUSTMARK INSURANCE COMPANY | — | 62 | December | $13,476 |
| FIRST STOP HEALTH, LLC | — | 509 | May | $0 |
Questions
Who is COUNTRY SUPPLIER's benefits broker?
Per its most recent Form 5500 Schedule A, COUNTRY SUPPLIER's broker of record is HUB INTERNATIONAL MIDWEST LIMITED.
What insurance carrier does COUNTRY SUPPLIER use?
COUNTRY SUPPLIER's benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 4 disclosed carriers.
When does COUNTRY SUPPLIER's group plan renew?
The most recent Schedule A policy period for COUNTRY SUPPLIER ended in May. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from COUNTRY SUPPLIER's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.