# DOROTHY LANE MARKET INC. EMPLOYEE BENEFIT PLAN

Health and welfare plan sponsored by **DOROTHY LANE MARKET**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | DOROTHY LANE MARKET |
| EIN | 310561868 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | DAYTON, OH |
| Industry | supermarkets |
| Funding | mixed |
| Total premiums | $293K |
| Participants | 512 |
| Persons covered | 512 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, Other, LTD |
| SUPERIOR DENTAL CARE | Dental |
| VISION SERVICE PLAN (VSP) | Vision |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | Other |

## Brokers

| Broker | Placed with |
|---|---|
| MARSH & MCLENNAN AGENCY LLC | SUPERIOR DENTAL CARE |
| USI INSURANCE SERVICES LLC | SUPERIOR DENTAL CARE |
| MARSH & MCLENNAN AGENCY LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| MARSH & MCLENNAN AGENCY LLC | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| PHILIP N. MCKELVEY | AMERICAN HERITAGE 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/310561868-501
- Cite as: PlanOptica, https://planoptica.com/welfare/310561868-501
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