Form 5500 · Employee benefit plan · LAFAYETTE, LA
STATELY DOORS & WINDOWS, LLC
Public Form 5500 records show how STATELY DOORS & WINDOWS, LLC of LAFAYETTE, LA, a manufacturing employer, structures its employee benefits. Its broker of record is COTTINGHAM & BUTLER INSURANCE SVCS.. Coverage is written through BLUE CROSS AND BLUE SHIELD OF TEXAS and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 86-2214509 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 2 insured contracts covering health, dental, vision and life; the largest, with BLUE CROSS AND BLUE SHIELD OF TEXAS, covers 31 people.
Reported premium across the insured contracts is $264,497, with $11,417 in disclosed broker commissions — about 4.3% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
COTTINGHAM & BUTLER INSURANCE SVCS. is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: BLUE CROSS AND BLUE SHIELD OF TEXAS and METROPOLITAN LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF TEXAS | Health | 31 | December | $260,496 | $10,993 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental, Vision, Life | 178 | December | $4,001 | $424 |
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