# ARDISAM INTERNATIONAL, INC. HEALTH AND WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **ARDISAM INTERNATIONAL, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | ARDISAM INTERNATIONAL, INC. |
| EIN | 390972781 |
| Plan number | 504 |
| Plan year | 2025 |
| Location | CUMBERLAND, WI |
| Industry | Manufacturing |
| Funding | fully insured |
| Total premiums | $227K |
| Participants | 94 |
| Persons covered | 94 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| SECURITY HEALTH PLAN OF WISCONSIN, INC. | Health, Rx, HMO |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, LTD, Other, STD |
| STARMOUNT LIFE INSURANCE COMPANY | Dental |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| THE HORTON GROUP | SECURITY HEALTH PLAN OF WISCONSIN, INC. |
| MARSH & MCLENNAN AGENCY LLC | STARMOUNT LIFE INSURANCE COMPANY |
| PROFESSIONAL GROUP PLANS INC | STARMOUNT LIFE INSURANCE COMPANY |
| MARSH & MCLENNAN AGENCY LLC | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| PROFESSIONAL GROUP PLANS INC | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| MARSH & MCLENNAN AGENCY LLC | VISION SERVICE PLAN |
| MARSH & MCLENNAN AGENCY LLC | UNUM INSURANCE COMPANY |
| PROFESSIONAL GROUP PLANS INC | UNUM 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/390972781-504
- Cite as: PlanOptica, https://planoptica.com/welfare/390972781-504
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers