Form 5500 · Employee benefit plan · WACONIA, MN
KM SUPERMARKETS INC.
KM SUPERMARKETS INC. of WACONIA, MN 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 UNITED OF OMAHA LIFE INSURANCE COMPANY. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 41-1574070 · plan 503 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Dental, Vision, Life, Disability | 152 | December | $9,868 |
Questions
Who is KM SUPERMARKETS INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, KM SUPERMARKETS INC.'s broker of record is USI INSURANCE SERVICES LLC.
What insurance carrier does KM SUPERMARKETS INC. use?
KM SUPERMARKETS INC.'s benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY.
When does KM SUPERMARKETS INC.'s group plan renew?
The most recent Schedule A policy period for KM SUPERMARKETS INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from KM SUPERMARKETS INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.