Form 5500 · Employee benefit plan · SALEM, OR
SUPERIOR TIRE SERVICE, INC.
Public Form 5500 records show how SUPERIOR TIRE SERVICE, INC. (SALEM, OR) structures its employee benefits. Its broker of record is BROWN & BROWN OF OREGON. Coverage is written through PROVIDENCE HEALTH PLAN and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-0454110 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| PROVIDENCE HEALTH PLAN | Health | 230 | December | $58,674 |
| OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OR OR | Dental | 236 | December | $3,940 |
| VISION SERVICE PLAN | Vision | 86 | December | $1,431 |
| USABLE LIFE | Life, Disability | 184 | December | $0 |
Questions
Who is SUPERIOR TIRE SERVICE, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, SUPERIOR TIRE SERVICE, INC.'s broker of record is BROWN & BROWN OF OREGON.
What insurance carrier does SUPERIOR TIRE SERVICE, INC. use?
SUPERIOR TIRE SERVICE, INC.'s benefit plan is written through PROVIDENCE HEALTH PLAN, among 4 disclosed carriers.
When does SUPERIOR TIRE SERVICE, INC.'s group plan renew?
The most recent Schedule A policy period for SUPERIOR TIRE SERVICE, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from SUPERIOR TIRE SERVICE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.