# PIEDMONT AIRLINES, INC. EMPLOYEE BENEFIT PLAN

Health and welfare plan sponsored by **PIEDMONT AIRLINES, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | PIEDMONT AIRLINES, INC. |
| EIN | 520970090 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SALISBURY, MD |
| Industry | airlines/aviation |
| Funding | mixed |
| Total premiums | $4.0M |
| Participants | 5,906 |
| Persons covered | 5,767 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| HARTFORD LIFE AND ACCIDENT | Life, LTD, Other, STD |
| TOKIO MARINE HCC | Stop-loss |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| ALERA GROUP, INC. | HARTFORD LIFE AND ACCIDENT |
| AIA AMERICAN INS ADMINISTRATORS LLC | HARTFORD LIFE AND ACCIDENT |
| INGROUP ASSICIATES, INC. | HCC LIFE INSURANCE COMPANY |
| ASSUREDPARTNERS | VISION BENEFITS OF AMERICA |

## 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/520970090-501
- Cite as: PlanOptica, https://planoptica.com/welfare/520970090-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers