Form 5500 · Employee benefit plan · GRANTS PASS, OR
DUTCH BROS. LLC
DUTCH BROS. LLC'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 NORTHWEST. Coverage is written through SUN LIFE ASSURANCE COMPANY OF CANADA and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-1233485 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| SUN LIFE ASSURANCE COMPANY OF CANADA | Vision, Life, Disability | 2,942 | December | $69,765 |
| OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | Dental | 2,457 | December | $22,990 |
| COMPSYCH | — | 17,695 | December | $0 |
Questions
Who is DUTCH BROS. LLC's benefits broker?
Per its most recent Form 5500 Schedule A, DUTCH BROS. LLC's broker of record is USI INSURANCE SERVICES NORTHWEST.
What insurance carrier does DUTCH BROS. LLC use?
DUTCH BROS. LLC's benefit plan is written through SUN LIFE ASSURANCE COMPANY OF CANADA, among 3 disclosed carriers.
When does DUTCH BROS. LLC's group plan renew?
The most recent Schedule A policy period for DUTCH BROS. LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from DUTCH BROS. LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.