# HARRIS TEETER SUPERMARKETS, INC. GROUP WELFARE BENEFITS PLAN

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

| Field | Value |
|---|---|
| Sponsor | HARRIS TEETER SUPERMARKETS, INC. |
| EIN | 560905940 |
| Plan number | 505 |
| Plan year | 2025 |
| Location | MATTHEWS, NC |
| Industry | Retail Trade |
| Funding | fully insured |
| Total premiums | $13.9M |
| Participants | 16,529 |
| Persons covered | 15,474 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | Life, STD, LTD, Other |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Other |
| VISION SERVICE PLAN (VSP) | Vision |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Health, Dental, Life, STD, LTD, Indemnity, Other |
| METLIFE LEGAL PLANS | Other |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, LTD |

## Brokers

| Broker | Placed with |
|---|---|
| MARSH & MCLENNAN AGENCY LLC | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| THE NIA GROUP | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| BUSINESSOLVER.COM, INC. | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| LOCKTON COMPANIES, LLC | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| HARRIS TEETER | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| BSC AGENCY LLC | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| MARSH & MCLENNAN AGENCY LLC | VISION SERVICE PLAN |
| MARSH & MCLENNAN AGENCY LLC | RELIANCE STANDARD LIFE INSURANCE COMPANY |
| LOCKTON COMPANIES, LLC | METLIFE LEGAL PLANS |
| LOCKTON COMPANIES, LLC | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| MARSH & MCLENNAN AGENCY LLC | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| NFP INSURANCE SERVICES INC | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| BRANDON BRICKWEG | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| THE PARTNERS GROUP | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| PLYBON & ASSOCIATES INC | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| M FINANCIAL HOLDINGS INC | PROVIDENT LIFE AND ACCIDENT 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/560905940-505
- Cite as: PlanOptica, https://planoptica.com/welfare/560905940-505
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