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Form 5500 · Employee benefit plan · GREENSBORO, NC

DANA SAFETY SUPPLY

DANA SAFETY SUPPLY of GREENSBORO, NC insures dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is GALLAGHER BENEFIT SERVICES, INC. Coverage is written through AMERITAS LIFE INSURANCE CORP. 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 27-1557226 · plan 501 · as of Aug 2026

Participants
100
Carriers on file
4
Disclosed commissions
$67,828
Renewal month
December

Plan brief

Schedule A lists 4 insured contracts covering dental, vision, life and disability; the largest, with AMERITAS LIFE INSURANCE CORP., covers 787 people.

Reported premium across the insured contracts is $505,105, with $67,828 in disclosed broker commissions — about 13% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

GALLAGHER BENEFIT SERVICES, INC is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.

4 carriers appear on the filing — AMERITAS LIFE INSURANCE CORP., LIFE INSURANCE COMPANY OF NORTH AMERICA, CIGNA HEALTH AND LIFE INSURANCE COMPANY and COMBINED STATES L.S., INC. — with AMERITAS LIFE INSURANCE CORP. writing the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
LIFE INSURANCE COMPANY OF NORTH AMERICALife, Disability358December$209,197$31,380
AMERITAS LIFE INSURANCE CORP.Dental, Vision787January$266,618$26,662
CIGNA HEALTH AND LIFE INSURANCE COMPANY358December$15,055$9,786
COMBINED STATES L.S., INC.146December$14,235$0

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

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