# SUB-SURFACE OF INDIANA, INC. HEALTH AND WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **SUB-SURFACE OF INDIANA, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | SUB-SURFACE OF INDIANA, INC. |
| EIN | 351876077 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | MORGANTOWN, IN |
| Industry | construction |
| Funding | mixed |
| Total premiums | $134K |
| Participants | 111 |
| Persons covered | 111 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| AFLAC | Dental, Vision, Life, STD, Indemnity, Other |
| DELTA DENTAL OF MICHIGAN | Dental, Vision |
| TOKIO MARINE HCC | Other |
| HARTFORD LIFE AND ACCIDENT | Life, Other |
| SUN LIFE FINANCIAL | Dental |

## Brokers

| Broker | Placed with |
|---|---|
| KATTE L HANNER | AFLAC |
| PAIGE BATALIS | AFLAC |
| PHYLLIS A BEX | AFLAC |
| MJ INSURANCE | AFLAC |
| IMANI CONAWAY | AFLAC |
| CANDACE Y HILDEBRAN | AFLAC |
| RICK MCPHERSON | AFLAC |
| HOUCHENS INSURANCE GROUP INC | DELTA DENTAL OF INDIANA |
| HOUCHENS INSURANCE GROUP INC | HCC LIFE INSURANCE COMPANY |
| STEALTH PARTNER GROUP LLC | HCC LIFE INSURANCE COMPANY |
| HOUCHENS INSURANCE GROUP INC | HARTFORD LIFE AND ACCIDENT |

## 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/351876077-501
- Cite as: PlanOptica, https://planoptica.com/welfare/351876077-501
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