# LISEGA, INC. WRAP PLAN

Health and welfare plan sponsored by **LISEGA, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | LISEGA, INC. |
| EIN | 020409118 |
| Plan number | 511 |
| Plan year | 2025 |
| Location | KODAK, TN |
| Industry | consumer goods |
| Funding | fully insured |
| Total premiums | $1.7M |
| Participants | 150 |
| Persons covered | 285 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BCBS OF TENNESSEE | Health |
| ONE AMERICA | Life, STD, LTD, Other |
| DELTA DENTAL | Dental, Vision |

## Brokers

| Broker | Placed with |
|---|---|
| MATTHEW B MORASKI | BLUE CROSS BLUE SHIELD OF TENNESSEE, INC |
| DIGITAL INSURANCE LLC | AMERICAN UNITED LIFE INSURANCE COMPANY |
| DIGITAL INSURANCE LLC | DELTA DENTAL |

## 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/020409118-511
- Cite as: PlanOptica, https://planoptica.com/welfare/020409118-511
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