# PREMIER UNDERGROUND CONSTRUCTION, LLC HEALTH AND WELFARE BENEFITS PLAN

Health and welfare plan sponsored by **PREMIER UNDERGROUND CONSTRUCTION, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | PREMIER UNDERGROUND CONSTRUCTION, LLC |
| EIN | 201695063 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | GLENDALE, AZ |
| Industry | Construction |
| Funding | fully insured |
| Total premiums | $914K |
| Participants | 151 |
| Persons covered | 171 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| AETNA LIFE INSURANCE COMPANY | Health, Rx, PPO, Dental, Vision |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Life, Other |

## Brokers

| Broker | Placed with |
|---|---|
| ALLIANT INSURANCE SERVICES, INC. | BANNER HEALTH AND AETNA HEALTH |
| ALLIANT INSURANCE SERVICES, INC. | AETNA LIFE INSURANCE COMPANY |
| ALLIANT INSURANCE SERVICES, INC. | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA |
| BLUE CROSS BLUE SHIELD OF FLORIDA | EQUITABLE FINANCIAL 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/201695063-501
- Cite as: PlanOptica, https://planoptica.com/welfare/201695063-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers
