Form 5500 · Employee benefit plan · NEW ERA, MI
HOMETOWN PHARMACY
HOMETOWN PHARMACY of NEW ERA, MI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is ASR HEALTH BENEFITS. Coverage is written through ARDELLIS INSURANCE LIMITED and 10 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 38-3219317 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| ARDELLIS INSURANCE LIMITED | Stop-loss | 153 | December | $18,001 |
| DELTA DENTAL OF MICHIGAN | Dental | 377 | December | $5,440 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 95 | December | $4,515 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 63 | December | $3,082 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 327 | December | $2,661 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 24 | December | $2,604 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 54 | December | $2,531 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 29 | December | $2,218 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 49 | December | $1,845 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 63 | December | $915 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 63 | December | $268 |
Questions
Who is HOMETOWN PHARMACY's benefits broker?
Per its most recent Form 5500 Schedule A, HOMETOWN PHARMACY's broker of record is ASR HEALTH BENEFITS.
What insurance carrier does HOMETOWN PHARMACY use?
HOMETOWN PHARMACY's benefit plan is written through ARDELLIS INSURANCE LIMITED, among 11 disclosed carriers.
When does HOMETOWN PHARMACY's group plan renew?
The most recent Schedule A policy period for HOMETOWN PHARMACY ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from HOMETOWN PHARMACY's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.