# DELTA DENTAL OF MISSOURI WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **DELTA DENTAL OF MISSOURI**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | DELTA DENTAL OF MISSOURI |
| EIN | 430908349 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | ST. LOUIS, MO |
| Industry | insurance |
| Funding | fully insured |
| Total premiums | $4.8M |
| Participants | 255 |
| Persons covered | 667 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| CENTENE CORP. GRP. DBA HEALTH NET LIFE INSURANCE COMPANY | Health, PPO |
| DELTA DENTAL OF MISSOURI | Dental |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life, Other, LTD, STD |
| ADVANTICA INSURANCE COMPANY | Vision |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Other |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | Other |
| HARTFORD LIFE AND ACCIDENT | Other |

## Brokers

| Broker | Placed with |
|---|---|
| ASSUREDPARTNERS | RELIANCE STANDARD LIFE INSURANCE COMPANY |
| GIS BENEFITS INC | RELIANCE STANDARD LIFE INSURANCE COMPANY |
| M3 INSURANCE SOLUTIONS INC | RELIANCE STANDARD LIFE INSURANCE COMPANY |
| ASSUREDPARTNERS | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| M3 INSURANCE SOLUTIONS INC | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| ALAN ROMAN | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |
| JOHN ROSSINI | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |
| IVAN NORTH | 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/430908349-501
- Cite as: PlanOptica, https://planoptica.com/welfare/430908349-501
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