# CHAMPAIGN RESIDENTIAL LIVING FLEXIBLE BENEFIT PLAN

Health and welfare plan sponsored by **CHAMPAIGN RESIDENTIAL SERVICES, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | CHAMPAIGN RESIDENTIAL SERVICES, INC. |
| EIN | 341200331 |
| Plan number | 502 |
| Plan year | 2025 |
| Location | URBANA, OH |
| Industry | Health Care and Social Assistance |
| Funding | mixed |
| Total premiums | $150K |
| Participants | 242 |
| Persons covered | 239 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, STD, LTD, Other |
| VISION SERVICE PLAN (VSP) | Vision |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Other |

## Brokers

| Broker | Placed with |
|---|---|
| MARSH & MCLENNAN AGENCY LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| WATCHTOWER BENEFITS, LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| MARSH & MCLENNAN AGENCY LLC | VISION SERVICE PLAN |
| USI INSURANCE SERVICES LLC | VISION SERVICE PLAN |
| NORTHWEST WORKSITE MARKETING CORP | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| BRENDA K COX | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| ASSUREDPARTNERS | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| JUSTIN J MCDONALD | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| JEFFERY SMELCER | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| JOSEPH MCDONALD | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| RICHARD BEYLAND | COLONIAL LIFE AND ACCIDENT 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/341200331-502
- Cite as: PlanOptica, https://planoptica.com/welfare/341200331-502
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