# ORTHOALLIANCE INDIANA GROUP WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **ORTHOALLIANCE INDIANA**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | ORTHOALLIANCE INDIANA |
| EIN | 351709418 |
| Plan number | 504 |
| Plan year | 2025 |
| Location | MUNCIE, IN |
| Industry | Health Care and Social Assistance |
| Funding | mixed |
| Total premiums | $356K |
| Participants | 134 |
| Persons covered | 361 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | LTD, STD, Life |
| SUPERIOR DENTAL CARE | Dental |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision |
| VOYA FINANCIAL | Other |
| BETHESDA HEALTHCARE INC. DBA TRIHEALTH EAP | Other |

## Brokers

| Broker | Placed with |
|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| HUB INTERNATIONAL MIDWEST LIMITED | SUPERIOR DENTAL CARE, INC. |
| HORAN ASSOCIATES INC. | SUPERIOR DENTAL CARE, INC. |
| HUB INTERNATIONAL MIDWEST LIMITED | FIDELITY SECURITY LIFE INSURANCE COMPANY |
| HUB INTERNATIONAL MIDWEST LIMITED | RELIASTAR LIFE INSURANCE COMPANY |
| BENE RE LLC | RELIASTAR 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/351709418-504
- Cite as: PlanOptica, https://planoptica.com/welfare/351709418-504
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers