# FORMICA CORPORATION COMPREHENSIVE MEDICAL PLAN

Health and welfare plan sponsored by **FORMICA CORPORATION**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | FORMICA CORPORATION |
| EIN | 232192184 |
| Plan number | 506 |
| Plan year | 2025 |
| Location | CINCINNATI, OH |
| Industry | Manufacturing |
| Funding | mixed |
| Total premiums | $1.2M |
| Participants | 592 |
| Persons covered | 7,784 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| HARTFORD LIFE AND ACCIDENT | Life, LTD, Other |
| DELTA DENTAL OF MICHIGAN | Dental |
| KAISER PERMANENTE | Health, Rx, HMO |
| EYEMED VISION CARE | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| MARSH & MCLENNAN AGENCY LLC | HARTFORD LIFE AND ACCIDENT |
| WATCHTOWER BENEFITS, LLC | HARTFORD LIFE AND ACCIDENT |
| MARSH & MCLENNAN AGENCY LLC | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. |

## 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/232192184-506
- Cite as: PlanOptica, https://planoptica.com/welfare/232192184-506
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