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Form 5500 · Employee benefit plan · NORTH MIAMI, FL

PAYLESS SHOESOURCE, LLC

PAYLESS SHOESOURCE, LLC's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Coverage is written through EMPOWER ANNUITY INSURANCE COMPANY OF AMERICA. The plan's most recent policy period ended in December.

Benefits broker of record
Not disclosed
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 48-0674097 · plan 002 · as of Jul 2026

Participants
1,637
Carriers on file
1
Disclosed commissions
$0
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
EMPOWER ANNUITY INSURANCE COMPANY OF AMERICA1,320December$0

Questions

What insurance carrier does PAYLESS SHOESOURCE, LLC use?

PAYLESS SHOESOURCE, LLC's benefit plan is written through EMPOWER ANNUITY INSURANCE COMPANY OF AMERICA.

When does PAYLESS SHOESOURCE, LLC's group plan renew?

The most recent Schedule A policy period for PAYLESS SHOESOURCE, LLC 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, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.