Form 5500 · Employee benefit plan · DEFOREST, WI
DON EVANS NEVADA, INC.
DON EVANS NEVADA, INC. of DEFOREST, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is M3 INSURANCE SOLUTIONS INC.. Coverage is written through DEAN HEALTH PLAN and 7 other carriers. The plan's most recent policy period ended in October.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 88-0223307 · plan 503 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| DEAN HEALTH PLAN | Health | 891 | October | $109,840 |
| GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | 280 | October | $14,501 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 280 | October | $11,787 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 257 | October | $8,960 |
| DELTA DENTAL OF WISCONSIN | Dental | 436 | October | $3,159 |
| SUPERIOR VISION PLAN | Vision | 851 | October | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 656 | October | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 656 | October | $0 |
Questions
Who is DON EVANS NEVADA, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, DON EVANS NEVADA, INC.'s broker of record is M3 INSURANCE SOLUTIONS INC..
What insurance carrier does DON EVANS NEVADA, INC. use?
DON EVANS NEVADA, INC.'s benefit plan is written through DEAN HEALTH PLAN, among 8 disclosed carriers.
When does DON EVANS NEVADA, INC.'s group plan renew?
The most recent Schedule A policy period for DON EVANS NEVADA, INC. ended in October. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from DON EVANS NEVADA, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.