# ELEMENTAL SCIENTIFIC, INC HEALTH AND WELFARE BENEFIT PLAN

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

| Field | Value |
|---|---|
| Sponsor | ELEMENTAL SCIENTIFIC, INC. |
| EIN | 391933901 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | OMAHA, NE |
| Industry | semiconductors |
| Funding | fully insured |
| Total premiums | $3.2M |
| Participants | 212 |
| Persons covered | 532 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Rx, Dental, Vision |
| BLUECROSS BLUESHIELD OF ILLINOIS | Health, Rx |
| METLIFE LEGAL PLANS | Life, STD, LTD, Other |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | Other |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | Other |

## Brokers

| Broker | Placed with |
|---|---|
| ASURE BENEFITS MANAGEMENT LLC | UNITEDHEALTHCARE INSURANCE COMPANY |
| PROFESSIONAL GROUP PLANS INC | UNITEDHEALTHCARE INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | UNITEDHEALTHCARE INSURANCE COMPANY |
| ASURE BENEFITS MANAGEMENT LLC | BLUECROSS BLUESHIELD OF MONTANA |
| GALLAGHER BENEFIT SERVICES, INC. | BLUECROSS BLUESHIELD OF MONTANA |
| ASURE BENEFITS MANAGEMENT LLC | METROPOLITAN LIFE INSURANCE COMPANY |
| GIS BENEFITS INC | METROPOLITAN LIFE INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | METROPOLITAN LIFE INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |
| PATRICK LILLIS | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |

## 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/391933901-501
- Cite as: PlanOptica, https://planoptica.com/welfare/391933901-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers