# LOWER GREAT LAKES KENWORTH GROUP HEALTH BENEFIT PLAN

Health and welfare plan sponsored by **LOWER GREAT LAKES KENWORTH, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | LOWER GREAT LAKES KENWORTH, INC. |
| EIN | 352122964 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SOUTH BEND, IN |
| Industry | transportation/trucking/railroad |
| Funding | mixed |
| Total premiums | $14K |
| Participants | 98 |
| Persons covered | 98 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| TOKIO MARINE HCC | Other |

## Brokers

| Broker | Placed with |
|---|---|
| PERSONIFY HEALTH SOLUTIONS, LLC. | HCC LIFE INSURANCE COMPANY |
| ASSUREDPARTNERS | HCC LIFE INSURANCE COMPANY |
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC | HCC 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/352122964-501
- Cite as: PlanOptica, https://planoptica.com/welfare/352122964-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers