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Form 5500 · Employee benefit plan · SALEM, OR

ROTH'S IGA FOODLINER INC.

ROTH'S IGA FOODLINER INC. of SALEM, OR files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MERCER HEALTH & BENEFITS, LLC. Coverage is written through PROVIDENCE HEALTH PLAN and 1 other carrier. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-0506597 · plan 502 · as of Jul 2026

Participants
284
Carriers on file
2
Disclosed commissions
$121,800
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
PROVIDENCE HEALTH PLANHealth, Vision430December$112,242
PRUDENTIAL INSURANCE COMPANY OF AMERICALife, Disability317December$9,558

Questions

Who is ROTH'S IGA FOODLINER INC.'s benefits broker?

Per its most recent Form 5500 Schedule A, ROTH'S IGA FOODLINER INC.'s broker of record is MERCER HEALTH & BENEFITS, LLC.

What insurance carrier does ROTH'S IGA FOODLINER INC. use?

ROTH'S IGA FOODLINER INC.'s benefit plan is written through PROVIDENCE HEALTH PLAN, among 2 disclosed carriers.

When does ROTH'S IGA FOODLINER INC.'s group plan renew?

The most recent Schedule A policy period for ROTH'S IGA FOODLINER INC. ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from ROTH'S IGA FOODLINER INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.