Form 5500 · Employee benefit plan · CONCORD, NC
S & D COFFEE, INC.
S & D COFFEE, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is GALLAGHER BENEFIT SERVICES, INC.. Coverage is written through LIFE INSURANCE COMPANY OF NORTH AMERICA and 13 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 56-0677417 · plan 501 · as of Aug 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 241 | December | $231,187 | $48,205 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | Health | 869 | December | $6,137,871 | $33,288 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 197 | December | $24,194 | $5,050 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | 30 | December | $17,362 | $3,599 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | 13 | December | $8,377 | $1,121 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | 8 | December | $4,829 | $488 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 0 | June | $60 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 63 | December | $1,865 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 373 | December | $122,827 | $0 |
| AETNA LIFE INSURANCE CO. | Vision | 841 | December | $46,568 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 630 | December | $175,303 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 630 | December | $23,097 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 566 | December | $191,353 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 241 | December | $4,308 | $0 |
Questions
Who is S & D COFFEE, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, S & D COFFEE, INC.'s broker of record is GALLAGHER BENEFIT SERVICES, INC..
What insurance carrier does S & D COFFEE, INC. use?
S & D COFFEE, INC.'s benefit plan is written through LIFE INSURANCE COMPANY OF NORTH AMERICA, among 14 disclosed carriers.
When does S & D COFFEE, INC.'s group plan renew?
The most recent Schedule A policy period for S & D COFFEE, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from S & D COFFEE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.