# SEVITA WELFARE BENEFITS PLAN

Health and welfare plan sponsored by **NATIONAL MENTOR HOLDINGS, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | NATIONAL MENTOR HOLDINGS, LLC |
| EIN | 043250732 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | EDINA, MN |
| Industry | Health Care and Social Assistance |
| Funding | fully insured |
| Total premiums | $24.5M |
| Participants | 28,546 |
| Persons covered | 34,520 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| METLIFE LEGAL PLANS | Dental, Life, Other, STD, LTD |
| VOYA FINANCIAL | Other |
| KAISER PERMANENTE | Health, Rx, HMO |
| DELTA DENTAL OF MASSACHUSETTS | Dental |
| UNITEDHEALTHCARE INSURANCE COMPANY | Vision |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| WILLIS TOWERS WATSON US LLC | RELIASTER LIFE INSURANCE COMPANY |
| RINGMASTER INSURANCE AGENCY LLC | RELIASTER LIFE INSURANCE COMPANY |
| WILLIS TOWERS WATSON US LLC | KAISER FOUNDATION HEALTH PLAN INC. |
| WILLIS TOWERS WATSON US LLC | METROPOLITAN LIFE INSURANCE COMPANY |
| WILLIS TOWERS WATSON US LLC | UNITED HEALTHCARE INSURANCE COMPANY |
| WILLIS TOWERS WATSON US LLC | VISION SERVICE PLAN |
| WILLIS TOWERS WATSON US LLC | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. |
| WILLIS TOWERS WATSON US LLC | KAISER FOUNDATION HEALTH PLAN OF COLORADO |
| WILLIS TOWERS WATSON US LLC | KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. |
| WILLIS TOWERS WATSON US LLC | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |

## 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/043250732-501
- Cite as: PlanOptica, https://planoptica.com/welfare/043250732-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers