Form 5500 · Employee benefit plan · PORTLAND, OR
LACROSSE FOOTWEAR, INC.
Public Form 5500 records show how LACROSSE FOOTWEAR, INC. of PORTLAND, OR, a manufacturing employer, structures its employee benefits. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through REGENCE BLUECROSS BLUESHIELD OF OREGON and 7 other carriers. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1446816 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 10 insured contracts covering health, dental, vision, life and disability; the largest, with REGENCE BLUECROSS BLUESHIELD OF OREGON, covers 354 people.
Reported premium across the insured contracts is $3,366,179, with $139,023 in disclosed broker commissions — about 4.1% of premium.
The most recent policy period ended in May, and the plan year ends May 31. Group contracts typically renew on that annual cycle.
MERCER HEALTH AND BENEFITS, LLC is the broker of record on 4 of the 10 contracts; the rest name a different broker or none.
8 carriers appear on the filing — REGENCE BLUECROSS BLUESHIELD OF OREGON, KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, STANDARD INSURANCE COMPANY and RELIASTAR LIFE INSURANCE COMPANY among them — with REGENCE BLUECROSS BLUESHIELD OF OREGON writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| REGENCE BLUECROSS BLUESHIELD OF OREGON | Health | 354 | May | $2,354,915 | $82,601 |
| RELIASTAR LIFE INSURANCE COMPANY | — | 112 | May | $29,988 | $18,621 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 107 | May | $569,243 | $16,771 |
| STANDARD INSURANCE COMPANY | Life | 281 | May | $95,233 | $6,053 |
| STANDARD INSURANCE COMPANY | Dental | 222 | May | $217,138 | $5,666 |
| STANDARD INSURANCE COMPANY | Disability | 281 | May | $50,179 | $5,505 |
| FEDERAL INSURANCE COMPANY | — | 276 | May | $7,055 | $2,117 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 461 | May | $29,406 | $1,458 |
| LEGALPLANS USA | — | 18 | May | $2,310 | $231 |
| CANOPY | — | 475 | May | $10,712 | $0 |
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