Form 5500 · Employee benefit plan · MERCEDES, TX
WESTERN LEATHER GOODS, INC.
The filing calls this plan WESTERN LEATHER GOODS, INC. ANCILLARY PLAN.
WESTERN LEATHER GOODS, INC. of MERCEDES, TX insures vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is SHEPARD & WALTON LIFE INS AGCY. Coverage is written through DEARBORN LIFE INSURANCE COMPANY. The plan's most recent policy period ended in October.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 74-1619043 · plan 502 · plan year 2025, filed May 22, 2026
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Also declared: other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 1 insured contract covering vision, life and disability; the largest, with DEARBORN LIFE INSURANCE COMPANY, covers 198 people.
Reported premium across the insured contracts is $103,026, with $14,638 in disclosed broker commissions — about 14% of premium.
The most recent policy period ended in October, and the plan year ends October 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DEARBORN LIFE INSURANCE COMPANY | Vision, Life, Disability | 198 | Nov 1, 2025 | $103,026 | $14,638 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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