# PEACH STATE ROOFING EMPLOYEE BENEFIT PLAN

Health and welfare plan sponsored by **PEACH STATE ROOFING**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | PEACH STATE ROOFING |
| EIN | 581920786 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | LAWRENCEVILLE, GA |
| Industry | construction |
| Funding | mewa |
| Total premiums | $1.7M |
| Participants | 124 |
| Persons covered | 210 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental, Vision |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | Life, LTD, STD, Other |

## Brokers

| Broker | Placed with |
|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| EDGEWOOD PARTNERS INSURANCE CENTER | LIFE INSURANCE COMPANY OF NORTH 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/581920786-501
- Cite as: PlanOptica, https://planoptica.com/welfare/581920786-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers