Form 5500 · Employee benefit plan · TOPEKA, KS
PAYLESS SHOESOURCE, INC.
Public Form 5500 records show how PAYLESS SHOESOURCE, INC. (TOPEKA, KS) structures its employee benefits. Its broker of record is GALLAGHER BENEFIT SERVICES, INC.. Coverage is written through STANDARD INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 48-0674097 · plan 551 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| STANDARD INSURANCE COMPANY | Dental, Vision, Life, Disability | 72 | December | $28,334 |
| ACE AMERICAN INSURANCE COMPANY | — | 72 | January | $7,706 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 143 | December | $0 |
Questions
Who is PAYLESS SHOESOURCE, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, PAYLESS SHOESOURCE, INC.'s broker of record is GALLAGHER BENEFIT SERVICES, INC..
What insurance carrier does PAYLESS SHOESOURCE, INC. use?
PAYLESS SHOESOURCE, INC.'s benefit plan is written through STANDARD INSURANCE COMPANY, among 3 disclosed carriers.
When does PAYLESS SHOESOURCE, INC.'s group plan renew?
The most recent Schedule A policy period for PAYLESS SHOESOURCE, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from PAYLESS SHOESOURCE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.