Form 5500 · Employee benefit plan · COTTONWOOD, CA
NORTH STATE GROCERY, INC.
Public Form 5500 records show how NORTH STATE GROCERY, INC. (COTTONWOOD, CA) structures its employee benefits. Its broker of record is TERRIE RUNOLFSON. Coverage is written through AFLAC and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 68-0173691 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| AFLAC | Life | 115 | December | $13,325 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 877 | December | $0 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 196 | December | $0 |
Questions
Who is NORTH STATE GROCERY, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, NORTH STATE GROCERY, INC.'s broker of record is TERRIE RUNOLFSON.
What insurance carrier does NORTH STATE GROCERY, INC. use?
NORTH STATE GROCERY, INC.'s benefit plan is written through AFLAC, among 3 disclosed carriers.
When does NORTH STATE GROCERY, INC.'s group plan renew?
The most recent Schedule A policy period for NORTH STATE GROCERY, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from NORTH STATE GROCERY, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.