# BLUE STAR GROUP WELFARE PLAN

Health and welfare plan sponsored by **BLUE STAR RESORT & GOLF LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | BLUE STAR RESORT & GOLF LLC |
| EIN | 203663263 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SCOTTSDALE, AZ |
| Industry | Arts, Entertainment, and Recreation |
| Funding | fully insured |
| Total premiums | $770K |
| Participants | 781 |
| Persons covered | 779 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | Life, LTD, STD, Other |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Rx, HMO, Stop-loss, Indemnity |
| VISION SERVICE PLAN (VSP) | Vision |
| DELTA DENTAL OF CALIFORNIA | Dental |

## Brokers

| Broker | Placed with |
|---|---|
| MARSH & MCLENNAN AGENCY LLC | NEW YORK LIFE (LIFE INSURANCE COMPANY OF NORTH AMERICA) |
| MARSH & MCLENNAN AGENCY LLC | CIGNA HEALTHCARE OF CALIFORNIA |
| MARSH & MCLENNAN AGENCY LLC | VISION SERVICE PLAN |
| MARSH & MCLENNAN AGENCY LLC | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| MARSH & MCLENNAN AGENCY LLC | DELTA DENTAL OF CALIFORNIA |

## 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/203663263-501
- Cite as: PlanOptica, https://planoptica.com/welfare/203663263-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers