# NORTH STAR MUTUAL INSURANCE COMPANY HEALTH AND WELFARE PLAN

Health and welfare plan sponsored by **NORTH STAR MUTUAL INSURANCE COMPANY**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | NORTH STAR MUTUAL INSURANCE COMPANY |
| EIN | 410446480 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | COTTONWOOD, MN |
| Industry | insurance |
| Funding | mixed |
| Total premiums | $416K |
| Participants | 311 |
| Persons covered | 311 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, LTD, Indemnity, Other |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision |

## Brokers

| Broker | Placed with |
|---|---|
| GALLAGHER BENEFIT SERVICES, INC. | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| MARC A GROVE | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| ONEDIGITAL EXPRESSLINK LLC | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| GALLAGHER BENEFIT SERVICES, INC. | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| GALLAGHER BENEFIT SERVICES, INC. | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| ONEDIGITAL EXPRESSLINK LLC | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| MARC A GROVE | PROVIDENT LIFE AND ACCIDENT 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/410446480-501
- Cite as: PlanOptica, https://planoptica.com/welfare/410446480-501
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