# ADA MEDICAL BENEFITS PLAN

Health and welfare plan sponsored by **AMERICAN DENTAL ASSOCIATION**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | AMERICAN DENTAL ASSOCIATION |
| EIN | 360724690 |
| Plan number | 510 |
| Plan year | 2025 |
| Location | CHICAGO, IL |
| Industry | non-profit organization management |
| Funding | mixed |
| Total premiums | $16.3M |
| Participants | 676 |
| Persons covered | 733 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health, Rx, HMO, PPO |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, LTD, Other |
| FEDERAL INSURANCE COMPANY | Other |
| KAISER PERMANENTE | Health, Rx, HMO |

## Brokers

| Broker | Placed with |
|---|---|
| FIRST BENEFITS CORPORATION | BLUECROSS BLUESHIELD OF ILLINOIS |
| FIRST BENEFITS CORPORATION | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| SMITH, THOMAS, CHRISTOPHER | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| MERCER HEALTH AND BENEFITS, LLC | FEDERAL INSURANCE COMPANY |
| FIRST BENEFITS CORPORATION | PROVIDENT 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/360724690-510
- Cite as: PlanOptica, https://planoptica.com/welfare/360724690-510
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers