# LUXOFT USA, INC. CAFETERIA PLAN

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

| Field | Value |
|---|---|
| Sponsor | LUXOFT USA, INC |
| EIN | 223402613 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | NEW YORK, NY |
| Industry | Professional, Scientific, and Technical Services |
| Funding | fully insured |
| Total premiums | $7.9M |
| Participants | 676 |
| Persons covered | 6,456 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental, Indemnity |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life, STD, LTD, Other |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| ALLIANT INSURANCE SERVICES, INC. | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| ALLIANT INSURANCE SERVICES, INC. | RELIANCE STANDAND LIFE INSURANCE COMPANY |
| ALLIANT INSURANCE SERVICES, INC. | VISION SERVICE PLAN |

## 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/223402613-501
- Cite as: PlanOptica, https://planoptica.com/welfare/223402613-501
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