# JACKSON SYSTEMS & SUPPLY LLC

Health and welfare plan sponsored by **JACKSON SYSTEMS & SUPPLY** (dba JACKSON SYSTEMS, LLC). Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | JACKSON SYSTEMS & SUPPLY |
| EIN | 352013761 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | INDIANAPOLIS, IN |
| Industry | wholesale |
| Funding | mixed |
| Total premiums | $172K |
| Participants | 142 |
| Persons covered | 169 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Life, STD, LTD, Other |
| EYEMED VISION CARE | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| AMERICAN HEALTHCARE GROUP, INC. | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| AMERICAN HEALTH CARE GROUP, INC. | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. |

## 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/352013761-501
- Cite as: PlanOptica, https://planoptica.com/welfare/352013761-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers