Form 5500 · Employee benefit plan · TUCSON, AZ
EASTERSEALS BLAKE FOUNDATION
EASTERSEALS BLAKE FOUNDATION of TUCSON, AZ files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MAIN ST EXEC & EMPLOYEE BENEF LLC. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 86-0093224 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 591 | December | $17,625 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 194 | December | $13,659 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 203 | December | $9,805 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 590 | December | $9,592 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 152 | December | $8,730 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 350 | December | $6,460 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental, Vision | 530 | December | $4,921 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 492 | December | $0 |
Questions
Who is EASTERSEALS BLAKE FOUNDATION's benefits broker?
Per its most recent Form 5500 Schedule A, EASTERSEALS BLAKE FOUNDATION's broker of record is MAIN ST EXEC & EMPLOYEE BENEF LLC.
What insurance carrier does EASTERSEALS BLAKE FOUNDATION use?
EASTERSEALS BLAKE FOUNDATION's benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 8 disclosed carriers.
When does EASTERSEALS BLAKE FOUNDATION's group plan renew?
The most recent Schedule A policy period for EASTERSEALS BLAKE FOUNDATION ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from EASTERSEALS BLAKE FOUNDATION's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.