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Form 5500 · Employee benefit plan · LENEXA, KS

SAMPLER STORES, INC.

SAMPLER STORES, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is BUKATY COMPANIES. Coverage is written through METROPOLITAN LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 48-1120606 · plan 501 · as of Jul 2026

Participants
588
Carriers on file
2
Disclosed commissions
$52,254
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
METROPOLITAN LIFE INSURANCE COMPANYDental, Vision, Life784December$52,254
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth491December$0

Questions

Who is SAMPLER STORES, INC.'s benefits broker?

Per its most recent Form 5500 Schedule A, SAMPLER STORES, INC.'s broker of record is BUKATY COMPANIES.

What insurance carrier does SAMPLER STORES, INC. use?

SAMPLER STORES, INC.'s benefit plan is written through METROPOLITAN LIFE INSURANCE COMPANY, among 2 disclosed carriers.

When does SAMPLER STORES, INC.'s group plan renew?

The most recent Schedule A policy period for SAMPLER STORES, INC. ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

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