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Form 5500 · Employee benefit plan · WHITE SWAN, WA

KING MOUNTAIN TOBACCO CO. INC.

KING MOUNTAIN TOBACCO CO. INC. of WHITE SWAN, WA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is PAYNEWEST INSURANCE. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in October.

Benefits broker of record
Plan renews
October

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-3874581 · plan 501 · as of Jul 2026

Participants
112
Carriers on file
2
Disclosed commissions
$10,302
Renewal month
October

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
UNITED OF OMAHA LIFE INSURANCE COMPANYLife, Disability99October$9,301
VISION SERVICE PLANVision111October$1,001

Questions

Who is KING MOUNTAIN TOBACCO CO. INC.'s benefits broker?

Per its most recent Form 5500 Schedule A, KING MOUNTAIN TOBACCO CO. INC.'s broker of record is PAYNEWEST INSURANCE.

What insurance carrier does KING MOUNTAIN TOBACCO CO. INC. use?

KING MOUNTAIN TOBACCO CO. INC.'s benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 2 disclosed carriers.

When does KING MOUNTAIN TOBACCO CO. INC.'s group plan renew?

The most recent Schedule A policy period for KING MOUNTAIN TOBACCO CO. INC. ended in October. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from KING MOUNTAIN TOBACCO CO. INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.