# MOHAWK ESV, INC. HEALTH CARE PLAN

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

| Field | Value |
|---|---|
| Sponsor | MOHAWK ESV, INC. |
| EIN | 201880191 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | CALHOUN, GA |
| Industry | Manufacturing |
| Funding | fully insured |
| Total premiums | $20.3M |
| Participants | 20,204 |
| Persons covered | 21,602 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| METLIFE LEGAL PLANS | Dental, Vision, Life, Other |
| ONE AMERICA | LTD |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Rx |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Other |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Other |

## Brokers

| Broker | Placed with |
|---|---|
| DS-BSC LLC DBA TOTEM SOLUTIONS | METROPOLITAN LIFE INSURANCE COMPANY |
| DS-BSC LLC DBA TOTEM SOLUTIONS | AMERICAN UNITED LIFE INSURANCE COMPANY |
| MARSH & MCLENNAN AGENCY LLC | UNUM 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/201880191-501
- Cite as: PlanOptica, https://planoptica.com/welfare/201880191-501
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