# BCBSVT LIFE INSURANCE PLAN

Health and welfare plan sponsored by **BLUE CROSS AND BLUE SHIELD OF VERMONT**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | BLUE CROSS AND BLUE SHIELD OF VERMONT |
| EIN | 030277307 |
| Plan number | 505 |
| Plan year | 2025 |
| Location | MONTPELIER, VT |
| Industry | insurance |
| Funding | fully insured |
| Total premiums | $144K |
| Participants | 424 |
| Persons covered | 424 |

## Insurance carriers (Schedule A)

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

## Brokers

| Broker | Placed with |
|---|---|
| COMBINED SERVICES LLC | SYMETRA LIFE INSURANCE COMPANY |
| PALANZA, ANTHONY A | 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/030277307-505
- Cite as: PlanOptica, https://planoptica.com/welfare/030277307-505
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers