Form 5500 · Employee benefit plan · COBURG, OR
SERENITY LANE
SERENITY LANE of COBURG, OR files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BENNIE INSURANCE, LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-0606316 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 201 | December | $30,240 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 168 | December | $10,383 |
| AFLAC | — | 6 | December | $861 |
| WILLAMETTE DENTAL INSURANCE, INC. | Dental | 121 | December | $0 |
| CASCADE HEALTH | — | 221 | February | $0 |
| VISION SERVICE PLAN | Vision | 127 | December | $0 |
Questions
Who is SERENITY LANE's benefits broker?
Per its most recent Form 5500 Schedule A, SERENITY LANE's broker of record is BENNIE INSURANCE, LLC.
What insurance carrier does SERENITY LANE use?
SERENITY LANE's benefit plan is written through KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, among 6 disclosed carriers.
When does SERENITY LANE's group plan renew?
The most recent Schedule A policy period for SERENITY LANE ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from SERENITY LANE's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.