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Form 5500 · Employee benefit plan · ARLINGTON, TX

GRACOROBERTS

The filing calls this plan GRACO SUPPLY COMPANY EMPLOYEE BENEFIT PLAN.

GRACOROBERTS of ARLINGTON, TX spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is BROWN & BROWN INSURANCE SERVICES. Coverage is written through BLUECROSS BLUESHIELD OF TEXAS and 3 other carriers. The plan's most recent policy period ended in October.

Benefits broker of record
Policy year ends
Octoberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 75-1246622 · plan 501 · plan year 2025, filed Jun 11, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

186 other employer plans in Texas have policy years ending in October. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
264
Active at start of year
264
Active at end of year
268
Disclosed commissions
$28,919
Typical renewal
November 1

Benefits declared on this filing

Healthinsured — BLUECROSS BLUESHIELD OF TEXAS343 of 264 participants on the largest contract
Dentalinsured — BLUECROSS BLUESHIELD OF TEXAS343 of 264 participants
Visioninsured — DEARBORN LIFE INSURANCE COMPANY202 of 264 participants (77%)
Lifeinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY268 of 264 participants on the largest contract
Disabilityinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY205 of 264 participants (78%) on the largest contract

Also declared: supplemental unemployment, other welfare.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 9 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF TEXAS, covers 343 people.

Reported premium across the insured contracts is $2,286,438, with $28,919 in disclosed broker commissions — about 1.3% of premium.

The most recent policy period ended in October, and the plan year ends October 31. Group contracts typically renew on that annual cycle.

BROWN & BROWN INSURANCE SERVICES is the broker of record on 1 of the 9 contracts; the rest name a different broker or none.

4 carriers appear on the filing, including BLUECROSS BLUESHIELD OF TEXAS, KAISER FOUNDATION HEALTH PLAN, INC., UNITED OF OMAHA LIFE INSURANCE COMPANY and DEARBORN LIFE INSURANCE COMPANY. BLUECROSS BLUESHIELD OF TEXAS writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
BLUECROSS BLUESHIELD OF TEXASHealth, Dental343Nov 1, 2025$1,874,138$14,354
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability57Nov 1, 2025$30,782$4,617
UNITED OF OMAHA LIFE INSURANCE COMPANYLife65Nov 1, 2025$25,380$3,807
UNITED OF OMAHA LIFE INSURANCE COMPANY—82Nov 1, 2025$12,312$1,847
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability205Nov 1, 2025$45,124$1,793
UNITED OF OMAHA LIFE INSURANCE COMPANYLife268Nov 1, 2025$40,001$1,442
UNITED OF OMAHA LIFE INSURANCE COMPANY—39Nov 1, 2025$7,060$1,059
KAISER FOUNDATION HEALTH PLAN, INC.Health30Nov 1, 2025$224,972$0
DEARBORN LIFE INSURANCE COMPANYVision202Nov 1, 2025$26,669$0

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
GRACOROBERTS
EIN 75-1246622

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

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