# CLAY ELECTRIC COOPERATIVE WELFARE BENEFIT PLAN

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

| Field | Value |
|---|---|
| Sponsor | CLAY ELECTRIC COOPERATIVE, INC. |
| EIN | 590196695 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | KEYSTONE HEIGHTS, FL |
| Industry | utilities |
| Funding | mixed |
| Total premiums | $1.5M |
| Participants | 649 |
| Persons covered | 838 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| USABLE LIFE | Life, LTD, Other |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental |
| METLIFE LEGAL PLANS | Other |
| AMERITAS LIFE INSURANCE CORP. | Life |
| EYEMED VISION CARE | Vision |
| METROPOLITAN GENERAL INSURANCE COMPANY | Other |

## Brokers

| Broker | Placed with |
|---|---|
| HYLANT GROUP INC | USABLE LIFE |
| BLUE CROSS BLUE SHIELD OF FLORIDA | USABLE LIFE |
| HYLANT GROUP INC | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| HYLANT GROUP INC | METROPOLITAN LIFE INSURANCE COMPANY |
| HYLANT GROUP INC | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. |
| HYLANT GROUP INC | METROPOLITAN GENERAL 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/590196695-501
- Cite as: PlanOptica, https://planoptica.com/welfare/590196695-501
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