# IDENTITY, INC. HEALTH AND WELFARE BENEFIT PLAN

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

| Field | Value |
|---|---|
| Sponsor | IDENTITY, INC. |
| EIN | 522120012 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | GAITHERSBURG, MD |
| Industry | individual & family services |
| Funding | fully insured |
| Total premiums | $1.2M |
| Participants | 152 |
| Persons covered | 152 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| CAREFIRST BLUECROSS BLUESHIELD | Health, Rx, Dental, Vision, HMO |
| MUTUAL OF OMAHA INSURANCE COMPANY | STD, Life, Other |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Other |

## Brokers

| Broker | Placed with |
|---|---|
| JOHN BENSON MILLEN III | CAREFIRST BLUECHOICE, INC |
| RIGGS COUNSELMAN MICHAELS & DOWNES | CAREFIRST BLUECHOICE, INC |
| EMPLOYEE BENEFITS CORP OF AMERICA | CAREFIRST BLUECHOICE, INC |
| JOHN B MILLEN | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| RCM&D INC. | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| JOHN BENSON MILLEN III | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| RIGGS COUNSELMAN MICHAELS & DOWNES | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| FINANCIAL BALANCE GROUP LLC | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| MATTHEW E VAHUE | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| EMPLOYEE BENEFIT SERVICES OF MD | UNITED OF OMAHA LIFE 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/522120012-501
- Cite as: PlanOptica, https://planoptica.com/welfare/522120012-501
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