# OMNI GLASS & PAINT, LLC WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **OMNI GLASS & PAINT, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | OMNI GLASS & PAINT, LLC |
| EIN | 391096938 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | OSHKOSH, WI |
| Industry | construction |
| Funding | mixed |
| Total premiums | $223K |
| Participants | 183 |
| Persons covered | 265 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, LTD, Other |
| TOKIO MARINE HCC | Other |
| SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. | Vision |
| AURORA HEALTHCARE | Other |

## Brokers

| Broker | Placed with |
|---|---|
| COTTINGHAM & BUTLER | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| COTTINGHAM & BUTLER | HCC LIFE INSURANCE COMPANY |
| COTTINGHAM & BUTLER | SUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC. |

## 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/391096938-501
- Cite as: PlanOptica, https://planoptica.com/welfare/391096938-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers