Form 5500 · Employee benefit plan · JERICHO, NY
PUROLATOR INTERNATIONAL, INC.
PUROLATOR INTERNATIONAL, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 52-2191170 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 255 | December | $11,819 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 255 | December | $11,589 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 256 | December | $10,327 |
| AXIS INSURANCE COMPANY | — | 232 | December | $3,135 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 255 | December | $920 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 114 | December | $288 |
| VISION SERVICE PLAN | Vision | 191 | December | $0 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | Health, Dental | 228 | December | $0 |
Questions
Who is PUROLATOR INTERNATIONAL, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, PUROLATOR INTERNATIONAL, INC.'s broker of record is MERCER HEALTH AND BENEFITS, LLC.
What insurance carrier does PUROLATOR INTERNATIONAL, INC. use?
PUROLATOR INTERNATIONAL, INC.'s benefit plan is written through FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY, among 8 disclosed carriers.
When does PUROLATOR INTERNATIONAL, INC.'s group plan renew?
The most recent Schedule A policy period for PUROLATOR INTERNATIONAL, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from PUROLATOR INTERNATIONAL, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.