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Form 5500 · Employee benefit plan · BLOOMINGTON, MN

DALSIN INDUSTRIES, INC.

DALSIN INDUSTRIES, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through BLUE CROSS AND BLUE SHIELD OF MINNESOTA AND BLUE PLUS and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 41-1227778 · plan 510 · as of Jul 2026

Participants
137
Carriers on file
4
Disclosed commissions
$46,144
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
BLUE CROSS AND BLUE SHIELD OF MINNESOTA AND BLUE PLUSHealth158December$33,502
UNITED OF OMAHA LIFE INSURANCE COMPANYLife, Disability115December$11,063
EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.Vision129December$1,579
BENCHMARK INSURANCE COMPANYHealth88December$0

Questions

Who is DALSIN INDUSTRIES, INC.'s benefits broker?

Per its most recent Form 5500 Schedule A, DALSIN INDUSTRIES, INC.'s broker of record is USI INSURANCE SERVICES LLC.

What insurance carrier does DALSIN INDUSTRIES, INC. use?

DALSIN INDUSTRIES, INC.'s benefit plan is written through BLUE CROSS AND BLUE SHIELD OF MINNESOTA AND BLUE PLUS, among 4 disclosed carriers.

When does DALSIN INDUSTRIES, INC.'s group plan renew?

The most recent Schedule A policy period for DALSIN INDUSTRIES, INC. ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from DALSIN INDUSTRIES, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.