# PAXTON STREET HOME BENEVOLENT SOCIETY, INC. EMPLOYEE BENEFIT PLAN

Health and welfare plan sponsored by **PAXTON STREET HOME BENEVOLENT SOCIETY, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | PAXTON STREET HOME BENEVOLENT SOCIETY, INC. |
| EIN | 232179648 |
| Plan number | 506 |
| Plan year | 2025 |
| Location | HARRISBURG, PA |
| Industry | Health Care and Social Assistance |
| Funding | mixed |
| Total premiums | $168K |
| Participants | 29 |
| Persons covered | 52 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| HM LIFE INSURANCE COMPANY | Stop-loss |
| DELTA DENTAL OF CALIFORNIA | Dental |
| ONE AMERICA | Life, Other |
| METLIFE LEGAL PLANS | Vision |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | LTD, Other |

## Brokers

| Broker | Placed with |
|---|---|
| AMERICAN INSURANCE ADMINISTRATORS | DELTA DENTAL OF PENNSYLVANIA |
| AMERICAN INSURANCE ADMINISTRATORS | AMERICAN UNITED LIFE INSURANCE COMPANY |
| ALERA GROUP, INC. | AMERICAN UNITED LIFE INSURANCE COMPANY |
| ALERA GROUP, INC. | NATIONAL VISION ADMINISTRATORS |
| PCI INSURANCE AGENCY | THE GUARDIAN 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/232179648-506
- Cite as: PlanOptica, https://planoptica.com/welfare/232179648-506
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