Form 5500 · Employee benefit plan · GLENSHAW, PA
FORMS AND SURFACES INC
FORMS AND SURFACES INC's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Coverage is written through DELTA DENTAL OF PENNSYLVANIA and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 25-1476717 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| DELTA DENTAL OF PENNSYLVANIA | Dental | 521 | December | $0 |
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 480 | December | $0 |
| HIGHMARK INC. | Health, Vision | 502 | December | $0 |
Questions
What insurance carrier does FORMS AND SURFACES INC use?
FORMS AND SURFACES INC's benefit plan is written through DELTA DENTAL OF PENNSYLVANIA, among 3 disclosed carriers.
When does FORMS AND SURFACES INC's group plan renew?
The most recent Schedule A policy period for FORMS AND SURFACES INC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from FORMS AND SURFACES INC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.