# EMPLOYEE BENEFIT PLAN LIFE AND HEALTH INSURANCE

Health and welfare plan sponsored by **SUPER RADIATOR COILS**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | SUPER RADIATOR COILS |
| EIN | 411533780 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | CHASKA, MN |
| Industry | Manufacturing |
| Funding | mixed |
| Total premiums | $684K |
| Participants | 966 |
| Persons covered | 966 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, STD, LTD, Other |
| BENCHMARK INSURANCE COMPANY | Health, Indemnity, Other |
| VISION SERVICE PLAN (VSP) | Vision |
| WELLWORKS FOR YOU | Health, Other |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | Other |

## Brokers

| Broker | Placed with |
|---|---|
| USI INSURANCE SERVICES LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| PLANSOURCE BENEFITS ADMINISTRATION | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | VISION SERVICE PLAN |

## 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/411533780-503
- Cite as: PlanOptica, https://planoptica.com/welfare/411533780-503
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers