# EVERGREEN SHIPPING AGENCY (AMERICA) CORPORATION GROUP LIFE INS ACCIDENT AND SICKNESS PLAN 503

Health and welfare plan sponsored by **EVERGREEN SHIPPING AGENCY AMERICA CORPORATION**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | EVERGREEN SHIPPING AGENCY AMERICA CORPORATION |
| EIN | 133373601 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | JERSEY CITY, NJ |
| Industry | maritime |
| Funding | fully insured |
| Total premiums | $476K |
| Participants | 406 |
| Persons covered | 480 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, STD, LTD, Other |
| FEDERAL INSURANCE COMPANY | Other |

## Brokers

| Broker | Placed with |
|---|---|
| GALLAGHER BENEFIT SERVICES, INC. | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| IMG | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| GALLAGHER BENEFIT SERVICES, INC. | FEDERAL 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/133373601-503
- Cite as: PlanOptica, https://planoptica.com/welfare/133373601-503
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