Form 5500 · Employee benefit plan · DERBY LINE, VT
TIVOLY, INC
Public Form 5500 records show how TIVOLY, INC (DERBY LINE, VT) structures its employee benefits. Its broker of record is ACRISURE LLC. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 56-1628422 · plan 503 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 98 | March | $4,116 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 98 | March | $1,807 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 12 | March | $754 |
Questions
Who is TIVOLY, INC's benefits broker?
Per its most recent Form 5500 Schedule A, TIVOLY, INC's broker of record is ACRISURE LLC.
What insurance carrier does TIVOLY, INC use?
TIVOLY, INC's benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 3 disclosed carriers.
When does TIVOLY, INC's group plan renew?
The most recent Schedule A policy period for TIVOLY, INC ended in March. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from TIVOLY, INC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.