# BROULIM'S SUPERMARKET, INC. WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **BROULIM'S SUPERMARKET, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | BROULIM'S SUPERMARKET, INC. |
| EIN | 820185104 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | RIGBY, ID |
| Industry | supermarkets |
| Funding | mixed |
| Total premiums | $52K |
| Participants | 519 |
| Persons covered | 518 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| SYMETRA LIFE INSURANCE COMPANY | Life, STD, LTD, Other |

## Brokers

| Broker | Placed with |
|---|---|
| CASTLE LAKE INSURANCE LLC | SYMETRA LIFE INSURANCE COMPANY |
| CONNEXION INSURANCE SOLUTIONS | SYMETRA LIFE INSURANCE COMPANY |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/820185104-501
- Cite as: PlanOptica, https://planoptica.com/welfare/820185104-501
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