Form 5500 · Employee benefit plan · DALLAS, TX
FSA STORE, INC.
FSA STORE, INC. of DALLAS, TX files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through ANTHEM BLUE CROSS and 2 other carriers. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 27-2576165 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| ANTHEM BLUE CROSS | Health, Dental | 239 | May | $58,682 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Dental, Vision, Life, Disability | 55 | May | $16,440 |
| METLIFE LEGAL PLANS | — | 10 | May | $213 |
Questions
Who is FSA STORE, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, FSA STORE, INC.'s broker of record is USI INSURANCE SERVICES LLC.
What insurance carrier does FSA STORE, INC. use?
FSA STORE, INC.'s benefit plan is written through ANTHEM BLUE CROSS, among 3 disclosed carriers.
When does FSA STORE, INC.'s group plan renew?
The most recent Schedule A policy period for FSA STORE, INC. ended in May. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from FSA STORE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.