# CUNA MUTUAL WELFARE BENEFITS PLAN FOR REPRESENTED EMPLOYEES

Health and welfare plan sponsored by **CMFG LIFE INSURANCE COMPANY**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | CMFG LIFE INSURANCE COMPANY |
| EIN | 390230590 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | MADISON, WI |
| Industry | insurance |
| Funding | mixed |
| Total premiums | $6.0M |
| Participants | 451 |
| Persons covered | 518 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| QUARTZ HEALTH BENEFIT PLANS CORPORATION | Health, Rx, HMO |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life, LTD |
| GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN | Health, Rx, HMO |
| VISION SERVICE PLAN (VSP) | Vision |
| HARTFORD LIFE AND ACCIDENT | Other |

## Brokers

| Broker | Placed with |
|---|---|
| HAYS COMPANIES, INC. | RELIANCE STANDARD LIFE INSURANCE COMPANY |
| WARNER PACIFIC INSURANCE SERVICES | HARTFORD 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/390230590-501
- Cite as: PlanOptica, https://planoptica.com/welfare/390230590-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers