# ITI INDIANA, LLC EMPLOYEE HEALTH CARE PLAN

Health and welfare plan sponsored by **ITI INDIANA, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | ITI INDIANA, LLC |
| EIN | 201578389 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | FORT WAYNE, IN |
| Industry | Health Care and Social Assistance |
| Funding | fully insured |
| Total premiums | $364K |
| Participants | 0 |
| Persons covered | 382 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| METLIFE LEGAL PLANS | Dental, Vision, Life, STD, LTD, Other |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Other |

## Brokers

| Broker | Placed with |
|---|---|
| GIBSON INS AGENCY INC | METROPOLITAN LIFE INSURANCE COMPANY |
| MARSH & MCLENNAN AGENCY LLC | METROPOLITAN LIFE INSURANCE COMPANY |
| JAMES R NELLIGAN & ASSOCIATES LLC | METROPOLITAN LIFE 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/201578389-501
- Cite as: PlanOptica, https://planoptica.com/welfare/201578389-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers