# GAMETIME WELFARE BENEFIT SEC 125 PLAN

Health and welfare plan sponsored by **GAMETIME, A DIVISION OF PLAYCORE WISCONSIN, INC.**. Form 5500 filing for plan year 2024.

| Field | Value |
|---|---|
| Sponsor | GAMETIME, A DIVISION OF PLAYCORE WISCONSIN, INC. |
| EIN | 391720480 |
| Plan number | 503 |
| Plan year | 2024 |
| Location | FT PAYNE, AL |
| Industry | consumer goods |
| Funding | fully insured |
| Total premiums | $4.6M |
| Participants | 0 |
| Persons covered | 3,557 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BCBS OF TENNESSEE | Health |
| DELTA DENTAL OF TENNESSEE | Dental, Vision |
| LIFE INSURANCE CARRIER OF NORTH AMERICA | Other, Life |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Other |
| NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | LTD, Other, STD |

## Brokers

| Broker | Placed with |
|---|---|
| RICHARD MEADOWS | BLUERE OF TENNESSEE |
| LOCKTON COMPANIES, LLC | DELTA DENTAL OF TENNESSEE |
| LOCKTON COMPANIES, LLC | LIFE INSURANCE CARRIER OF NORTH AMERICA |
| LOCKTON COMPANIES, LLC | NEW YORK LIFE - LIFE INSURANCE COMPANY OF NORTH AMERICA |
| LOCKTON COMPANIES, LLC | CIGNA - LIFE INSURANCE COMPANY OF NORTH AMERICA |
| EMPYREAN INSURANCE SERVICES, INC. | CIGNA - 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/391720480-503
- Cite as: PlanOptica, https://planoptica.com/welfare/391720480-503
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