# PREFERRED MUTUAL DENTAL & VISION PLAN

Health and welfare plan sponsored by **PREFERRED MUTUAL INSURANCE COMPANY**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | PREFERRED MUTUAL INSURANCE COMPANY |
| EIN | 150420080 |
| Plan number | 508 |
| Plan year | 2025 |
| Location | NEW BERLIN, NY |
| Industry | insurance |
| Funding | fully insured |
| Total premiums | $200K |
| Participants | 269 |
| Persons covered | 250 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| EXCELLUS BCBS | Dental, Vision |
| STANDARD INSURANCE COMPANY | Dental, Vision |

## Brokers

| Broker | Placed with |
|---|---|
| ALERA GROUP, INC. | EXCELLUS BLUE CROSS BLUE SHIELD |
| ALERA GROUP, INC. | STANDARD LIFE INS OF NY |

## 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/150420080-508
- Cite as: PlanOptica, https://planoptica.com/welfare/150420080-508
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