Form 5500 · Employee benefit plan · PORTLAND, OR
LACROSSE FOOTWEAR, INC.
LACROSSE FOOTWEAR, INC. of PORTLAND, OR files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MERCER HEALTH AND BENEFITS LLC. Coverage is written through REGENCE BLUECROSS BLUESHIELD OF OREGON and 9 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 Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| REGENCE BLUECROSS BLUESHIELD OF OREGON | Health | 354 | May | $82,601 |
| RELIASTAR LIFE INSURANCE COMPANY | — | 112 | May | $18,621 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 107 | May | $16,771 |
| STANDARD INSURANCE COMPANY | Life | 281 | May | $6,053 |
| STANDARD INSURANCE COMPANY | Dental | 222 | May | $5,666 |
| STANDARD INSURANCE COMPANY | Disability | 281 | May | $5,505 |
| FEDERAL INSURANCE COMPANY | — | 276 | May | $2,117 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 461 | May | $1,458 |
| LEGALPLANS USA | — | 18 | May | $231 |
| CANOPY | — | 475 | May | $0 |
Questions
Who is LACROSSE FOOTWEAR, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, LACROSSE FOOTWEAR, INC.'s broker of record is MERCER HEALTH AND BENEFITS LLC.
What insurance carrier does LACROSSE FOOTWEAR, INC. use?
LACROSSE FOOTWEAR, INC.'s benefit plan is written through REGENCE BLUECROSS BLUESHIELD OF OREGON, among 10 disclosed carriers.
When does LACROSSE FOOTWEAR, INC.'s group plan renew?
The most recent Schedule A policy period for LACROSSE FOOTWEAR, INC. ended in May. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from LACROSSE FOOTWEAR, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.