Form 5500 · Employee benefit plan · GREEN BAY, WI
POMP'S TIRE SERVICE, INC.
POMP'S TIRE SERVICE, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is JA COUNTER & ASSOCIATES. Coverage is written through DELTA DENTAL OF WISCONSIN and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-0838986 · plan 505 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| DELTA DENTAL OF WISCONSIN | Dental | 1,449 | December | $115,484 |
| DELTA DENTAL OF WISCONSIN | Dental | 450 | December | $23,320 |
Questions
Who is POMP'S TIRE SERVICE, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, POMP'S TIRE SERVICE, INC.'s broker of record is JA COUNTER & ASSOCIATES.
What insurance carrier does POMP'S TIRE SERVICE, INC. use?
POMP'S TIRE SERVICE, INC.'s benefit plan is written through DELTA DENTAL OF WISCONSIN, among 2 disclosed carriers.
When does POMP'S TIRE SERVICE, INC.'s group plan renew?
The most recent Schedule A policy period for POMP'S TIRE SERVICE, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from POMP'S TIRE SERVICE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.