# ULTRA-PRO INTERNATIONAL LLC HEALTH WELFARE PLAN

Health and welfare plan sponsored by **ULTRA-PRO INTERNATIONAL LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | ULTRA-PRO INTERNATIONAL LLC |
| EIN | 453856796 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | CITY OF COMMERCE, CA |
| Industry | consumer goods |
| Funding | fully insured |
| Total premiums | $1.4M |
| Participants | 176 |
| Persons covered | 176 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| AETNA LIFE INSURANCE COMPANY | Health, Rx, HMO, Other, PPO |
| DELTA DENTAL OF CALIFORNIA | Dental, HMO, PPO |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | Life, LTD, Other |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Other |
| EYEMED VISION CARE | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| LIBERTY COMPANY INSURANCE BROKERS | AETNA HEALTH, INC. |
| LIBERTY COMPANY INSURANCE BROKERS | AETNA LIFE INSURANCE COMPANY |
| LIBERTY COMPANY INSURANCE BROKERS | DELTA DENTAL OF CALIFORNIA |
| LIBERTY COMPANY INSURANCE BROKERS | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| USI INSURANCE SERVICES LLC | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| LIBERTY COMPANY INSURANCE BROKERS | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| JOHN D EVANGELISTA | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| TECH COORDINATOR CYBER INSURANCE SO | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| SARAH COURTNEY KNAPP | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| MARIA C GONZALEZ | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| BROWN & BROWN INSURANCE SERVICES | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| LIBERTY COMPANY INSURANCE BROKERS | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. |

## 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/453856796-501
- Cite as: PlanOptica, https://planoptica.com/welfare/453856796-501
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