Form 5500 · Employee benefit plan · FRIDLEY, MN
REVIVA, INC.
Public Form 5500 records show how REVIVA, INC. (FRIDLEY, MN) structures its employee benefits. Its broker of record is MARSH & MCLENNAN AGENCY LLC. Coverage is written through HEALTHPARTNERS ADMINISTRATORS, INC and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 41-0840959 · plan 502 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| HEALTHPARTNERS ADMINISTRATORS, INC | Stop-loss | 269 | December | $25,558 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 207 | December | $6,561 |
| FIRST STOP HEALTH, LLC | — | 213 | December | $2,201 |
| EYEMED | Vision | 217 | December | $1,893 |
| ESI GROUP | — | 228 | December | $0 |
Questions
Who is REVIVA, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, REVIVA, INC.'s broker of record is MARSH & MCLENNAN AGENCY LLC.
What insurance carrier does REVIVA, INC. use?
REVIVA, INC.'s benefit plan is written through HEALTHPARTNERS ADMINISTRATORS, INC, among 5 disclosed carriers.
When does REVIVA, INC.'s group plan renew?
The most recent Schedule A policy period for REVIVA, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from REVIVA, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.