# AMBULNZ LLC WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **AMBULNZ HEALTH LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | AMBULNZ HEALTH LLC |
| EIN | 474292804 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | NEW YORK, NY |
| Industry | Health Care and Social Assistance |
| Funding | mixed |
| Total premiums | $2.7M |
| Participants | 686 |
| Persons covered | 1,786 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| SUN LIFE FINANCIAL | Stop-loss |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Dental, Indemnity |
| METLIFE LEGAL PLANS | Other |
| AMERITAS LIFE INSURANCE CORP. | Vision |
| MUTUAL OF OMAHA INSURANCE COMPANY | STD, Life, Other, LTD |
| COMPANION LIFE INSURANCE COMPANY | Life |
| METROPOLITAN GENERAL INSURANCE COMPANY | Other |

## Brokers

| Broker | Placed with |
|---|---|
| CENTERSTONE INSURANCE AND FINANCIAL | SUN LIFE AND HEALTH INSURANCE COMPANY |
| LUMINARE HEALTH BENEFITS, INC. | SUN LIFE AND HEALTH INSURANCE COMPANY |
| CENTERSTONE INSURANCE AND FINANCIAL | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| DKG INSURANCE & FINANCIAL SERVICES | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| CENTERSTONE INSURANCE AND FINANCIAL | AMERITAS LIFE INSURANCE CORP OF NEW YORK |
| DKG INSURANCE & FINANCIAL SERVICES | AMERITAS LIFE INSURANCE CORP OF NEW YORK |
| DKG INS. AND FIN. SERVICES, INC. | METROPOLITAN LIFE INSURANCE COMPANY |
| CENTERSTONE INSURANCE AND FINANCIAL | COMPANION LIFE INSURANCE COMPANY |
| DKG INS. AND FIN. SERVICES, INC. | METROPOLITAN GENERAL INSURANCE COMPANY |
| CENTERSTONE INSURANCE AND FINANCIAL | MUTUAL OF OMAHA 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/474292804-503
- Cite as: PlanOptica, https://planoptica.com/welfare/474292804-503
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