# ANI PHARMACEUTICALS, INC. WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **ANI PHARMACEUTICALS, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | ANI PHARMACEUTICALS, INC. |
| EIN | 200808920 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | BAUDETTE, MN |
| Industry | Wholesale Trade |
| Funding | fully insured |
| Total premiums | $14.1M |
| Participants | 744 |
| Persons covered | 1,459 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Rx, PPO |
| DELTA DENTAL OF MINNESOTA | Dental, PPO |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, STD, LTD, Other |
| VISION SERVICE PLAN (VSP) | Vision |
| METLIFE LEGAL PLANS | Indemnity, Other |
| METROPOLITAN GENERAL INSURANCE COMPANY | Other |

## Brokers

| Broker | Placed with |
|---|---|
| MERCER HEALTH AND BENEFITS, LLC | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| MERCER HEALTH AND BENEFITS, LLC | DELTA DENTAL OF MINNESOTA |
| GALLAGHER BENEFIT SERVICES, INC. | DELTA DENTAL OF MINNESOTA |
| MERCER HEALTH AND BENEFITS, LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| MERCER HEALTH AND BENEFITS, LLC | VISION SERVICE PLAN |
| GALLAGHER BENEFIT SERVICES, INC. | VISION SERVICE PLAN |
| MERCER HEALTH AND BENEFITS, LLC | METROPOLITAN LIFE INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | METROPOLITAN LIFE INSURANCE COMPANY |
| MERCER HEALTH AND BENEFITS, LLC | METROPOLITAN GENERAL INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | METROPOLITAN GENERAL 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/200808920-501
- Cite as: PlanOptica, https://planoptica.com/welfare/200808920-501
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