# LILLEY INTERNATIONAL CAFETERIA PLAN

Health and welfare plan sponsored by **LILLEY INTERNATIONAL**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | LILLEY INTERNATIONAL |
| EIN | 560587623 |
| Plan number | 520 |
| Plan year | 2025 |
| Location | RALEIGH, NC |
| Industry | transportation/trucking/railroad |
| Funding | fully insured |
| Total premiums | $1.0M |
| Participants | 135 |
| Persons covered | 159 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BCBS OF NORTH CAROLINA | Health, Rx, Dental, PPO |
| METLIFE LEGAL PLANS | Vision, STD, LTD |
| USABLE LIFE | Life, Other |

## Brokers

| Broker | Placed with |
|---|---|
| JAMES ALEXANDER | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA |
| WENDY PACE | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA |
| FIRST NATIONAL INSURANCE AGENCY | METROPOLITAN LIFE INSURANCE COMPANY |
| HUB INTERNATIONAL MIDWEST LIMITED | METROPOLITAN LIFE INSURANCE COMPANY |
| FIRST NATIONAL INSURANCE AGENCY | USABLE LIFE |
| MOSAIC GROUP SERVICES | USABLE LIFE |
| HUB INTERNATIONAL MIDWEST LIMITED | USABLE LIFE |

## 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/560587623-520
- Cite as: PlanOptica, https://planoptica.com/welfare/560587623-520
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers