# PBF HOLDING COMPANY LLC HEALTH AND WELFARE PLAN

Health and welfare plan sponsored by **PBF HOLDING COMPANY LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | PBF HOLDING COMPANY LLC |
| EIN | 272198168 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | PARSIPPANY, NJ |
| Industry | oil & energy |
| Funding | mixed |
| Total premiums | $17.8M |
| Participants | 3,752 |
| Persons covered | 3,631 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health, Rx, HMO |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Rx, Life, LTD, Other |
| AETNA LIFE INSURANCE COMPANY | Health, Rx, HMO |
| VISION SERVICE PLAN (VSP) | Vision |
| METLIFE LEGAL PLANS | Other |
| NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | Other |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | LTD |
| LLOYDS OF LONDON | STD |

## Brokers

| Broker | Placed with |
|---|---|
| MERCER HEALTH AND BENEFITS, LLC | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| IMG | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| MERCER HEALTH AND BENEFITS, LLC | VISION SERVICE PLAN |
| MERCER HEALTH AND BENEFITS, LLC | METLIFE LEGAL PLANS |
| MERCER HEALTH AND BENEFITS, LLC | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA |
| MERCER HEALTH AND BENEFITS, LLC | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| MERCER HEALTH AND BENEFITS, LLC | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY |
| MERCER HEALTH AND BENEFITS, LLC | LLOYDS OF LONDON |

## 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/272198168-501
- Cite as: PlanOptica, https://planoptica.com/welfare/272198168-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers