# CONSTRUCTION FORMS, INC. GROUP BENEFIT PLAN

Health and welfare plan sponsored by **CONSTRUCTION FORMS, INC.**. Form 5500 filing for plan year 2024.

| Field | Value |
|---|---|
| Sponsor | CONSTRUCTION FORMS, INC. |
| EIN | 391104344 |
| Plan number | 501 |
| Plan year | 2024 |
| Location | PORT WASHINGTON, WI |
| Industry | construction |
| Funding | mixed |
| Total premiums | $883K |
| Participants | 102 |
| Persons covered | 151 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| SUN LIFE FINANCIAL | Stop-loss |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | STD, LTD, Life, Other |
| NATIONAL GUARDIAN LIFE INSURANCE COMPANY | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| ALLIANT INSURANCE SERVICES, INC. | SUN LIFE ASSURANCE COMPANY OF CANADA |
| BENEFITS ADVISORS SERVICES GROUP LL | SUN LIFE ASSURANCE COMPANY OF CANADA |
| UNITED HEALTHCARE SERVICES, INC. | SUN LIFE ASSURANCE COMPANY OF CANADA |
| ALLIANT INSURANCE SERVICES, INC. | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| WATCHTOWER TECHNOLOGIES INC | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| ALLIANT INSURANCE SERVICES, INC. | NGL |

## 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/391104344-501
- Cite as: PlanOptica, https://planoptica.com/welfare/391104344-501
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