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Form 5500 · Employee benefit plan · WATKINSVILLE, GA

GOLDEN PANTRY FOOD STORES, INC.

GOLDEN PANTRY FOOD STORES, INC. of WATKINSVILLE, GA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MCGRIFF INSURANCE SERVICES, LLC. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 58-0975895 · plan 502 · as of Jul 2026

Participants
100
Carriers on file
2
Disclosed commissions
$15,143
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
UNITED OF OMAHA LIFE INSURANCE COMPANYDental, Vision, Life, Disability109December$11,315
HEALTHIEST YOUHealth100December$3,828

Questions

Who is GOLDEN PANTRY FOOD STORES, INC.'s benefits broker?

Per its most recent Form 5500 Schedule A, GOLDEN PANTRY FOOD STORES, INC.'s broker of record is MCGRIFF INSURANCE SERVICES, LLC.

What insurance carrier does GOLDEN PANTRY FOOD STORES, INC. use?

GOLDEN PANTRY FOOD STORES, INC.'s benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 2 disclosed carriers.

When does GOLDEN PANTRY FOOD STORES, INC.'s group plan renew?

The most recent Schedule A policy period for GOLDEN PANTRY FOOD STORES, INC. ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from GOLDEN PANTRY FOOD STORES, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.