# NUSCALE POWER WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **NUSCALE POWER, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | NUSCALE POWER, LLC |
| EIN | 371651151 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | CORVALLIS, OR |
| Industry | utilities |
| Funding | mixed |
| Total premiums | $1.8M |
| Participants | 416 |
| Persons covered | 407 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| COMMENCEMENT BAY RISK MANAGEMENT INSURANCE COMPANY | Stop-loss |
| REGENCE BLUECROSS BLUESHIELD OF OREGON | Health, Vision, PPO |
| HARTFORD LIFE AND ACCIDENT | Life, LTD, Other |
| WILLAMETTE DENTAL INSURANCE, INC. | Dental |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | Other |

## Brokers

| Broker | Placed with |
|---|---|
| THE PARTNERS GROUP | REGENCE BLUECROSS BLUESHIELD OF OREGON |
| THE PARTNERS GROUP | HARTFORD LIFE AND ACCIDENT |
| THE PARTNERS GROUP | WILLAMETTE DENTAL INSURANCE, INC |
| THE PARTNERS GROUP | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| THE PARTNERS GROUP | LIFE INSURANCE COMPANY OF NORTH AMERICA |

## 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/371651151-501
- Cite as: PlanOptica, https://planoptica.com/welfare/371651151-501
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