# CRYSTAL DATA SERVICES, INC. HEALTH AND WELFARE PLAN

Health and welfare plan sponsored by **CRYSTAL DATA SERVICES, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | CRYSTAL DATA SERVICES, INC. |
| EIN | 201673156 |
| Plan number | 580 |
| Plan year | 2025 |
| Location | DAVENPORT, FL |
| Industry | Mining, Quarrying, and Oil and Gas Extraction |
| Funding | mixed |
| Total premiums | $420K |
| Participants | 262 |
| Persons covered | 183 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BCBS OF ALABAMA | Health, Rx, PPO |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, LTD, Other |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Other |

## Brokers

| Broker | Placed with |
|---|---|
| MERCER HEALTH AND BENEFITS, LLC | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| MERCER HEALTH AND BENEFITS, LLC | CIGNA HEALTH AND 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/201673156-580
- Cite as: PlanOptica, https://planoptica.com/welfare/201673156-580
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers
