# OLD DOMINION TOBACCO HEALTH AND WELFARE PLAN

Health and welfare plan sponsored by **OLD DOMINION TOBACCO COMPANY INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | OLD DOMINION TOBACCO COMPANY INC. |
| EIN | 540325210 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | VIRGINIA BEACH, VA |
| Industry | Wholesale Trade |
| Funding | mixed |
| Total premiums | $216K |
| Participants | 130 |
| Persons covered | 288 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, STD, LTD, Other |
| UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. | Dental |
| ANTHEM LIFE INSURANCE COMPANY | Vision, Other |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Vision |
| SENTARA BEHAVIORAL HEALTH SERVICES INC | Other |
| METLIFE LEGAL PLANS | Other |

## Brokers

| Broker | Placed with |
|---|---|
| AP BENEFIT ADVISORS, LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| AP BENEFIT ADVISORS, LLC | UNITED CONCORDIA INSURANCE COMPANY |
| AP BENEFIT ADVISORS, LLC | ANTHEM HEALTH PLANS OF VIRGINIA, INC. |
| ASSUREDPARTNERS | ANTHEM HEALTH PLANS OF VIRGINIA, INC. |
| USI INSURANCE SERVICES LLC | ANTHEM HEALTH PLANS OF VIRGINIA, INC. |
| AP BENEFIT ADVISORS, LLC | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| USI INSURANCE SERVICES LLC | LEGAL RESOURCES |

## 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/540325210-503
- Cite as: PlanOptica, https://planoptica.com/welfare/540325210-503
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers