# GENERAL CREDIT FORMS, INC. GROUP INSURANCE PLAN

Health and welfare plan sponsored by **GENERAL CREDIT FORMS, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | GENERAL CREDIT FORMS, INC. |
| EIN | 430988997 |
| Plan number | 502 |
| Plan year | 2025 |
| Location | EARTH CITY, MO |
| Industry | printing |
| Funding | mixed |
| Total premiums | $304K |
| Participants | 210 |
| Persons covered | 259 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, STD, LTD, Other |
| DELTA DENTAL OF MISSOURI | Dental |
| ADVANTICA INSURANCE COMPANY | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| MERCER HEALTH AND BENEFITS, LLC | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| IMG | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| MERCER HEALTH AND BENEFITS, LLC | DELTA DENTAL OF MISSOURI |
| MERCER HEALTH AND BENEFITS, LLC | ADVANTICA 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/430988997-502
- Cite as: PlanOptica, https://planoptica.com/welfare/430988997-502
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers