# SIMPLY GOOD FOODS USA, INC. EMPLOYEE BENEFITS PLAN

Health and welfare plan sponsored by **SIMPLY GOOD FOODS USA, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | SIMPLY GOOD FOODS USA, INC. |
| EIN | 133587944 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | DENVER, CO |
| Industry | Wholesale Trade |
| Funding | fully insured |
| Total premiums | $1.5M |
| Participants | 303 |
| Persons covered | 314 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Vision, Life, STD, LTD, Indemnity, Other |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Dental, Indemnity |
| BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA | LTD, Other |
| TELADOC | Other |

## Brokers

| Broker | Placed with |
|---|---|
| ALLIANT INSURANCE SERVICES, INC. | KAISER FOUNDATION HEALTH PLAN, INC. |
| ALLIANT INSURANCE SERVICES, INC. | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| ALLIANT INSURANCE SERVICES, INC. | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILATES |
| ALLIANT INSURANCE SERVICES, INC. | BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA |
| USI INSURANCE SERVICES LLC | BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA |
| COMPLETE BENEFIT SOLUTIONS | BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA |

## 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/133587944-501
- Cite as: PlanOptica, https://planoptica.com/welfare/133587944-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers