# SIGNATURE AVIATION BENEFIT PLAN

Health and welfare plan sponsored by **SIGNATURE AVIATION USA, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | SIGNATURE AVIATION USA, LLC |
| EIN | 593096227 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | ORLANDO, FL |
| Industry | airlines/aviation |
| Funding | mixed |
| Total premiums | $9.6M |
| Participants | 5,192 |
| Persons covered | 5,939 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health, Rx, HMO |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Dental, Indemnity |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | Life, LTD, Other |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Rx |
| HEADSPACE, INC. | Other |
| UNITEDHEALTHCARE INSURANCE COMPANY | Vision |
| AETNA LIFE INSURANCE COMPANY | Indemnity, Other |
| LEGAL PLANS, USA | Other |
| FEDERAL INSURANCE COMPANY | Other |

## Brokers

| Broker | Placed with |
|---|---|
| GALLAGHER BENEFIT SERVICES, INC. | KAISER FOUNDATION HEALTH PLAN, INC. |
| AON CONSULTING INC | KAISER FOUNDATION HEALTH PLAN, INC. |
| GALLAGHER BENEFIT SERVICES, INC. | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES |
| GALLAGHER BENEFIT SERVICES, INC. | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| GALLAGHER BENEFIT SERVICES, INC. | UNITEDHEALTHCARE INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. |
| GALLAGHER BENEFIT SERVICES, INC. | KAISER FOUNDATION HEALTH PLAN OF COLORADO |
| GALLAGHER BENEFIT SERVICES, INC. | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON |
| GALLAGHER BENEFIT SERVICES, INC. | KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. |
| GALLAGHER BENEFIT SERVICES, INC. | KAISER HEALTH PLAN OF THE NORTHWEST |

## 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/593096227-501
- Cite as: PlanOptica, https://planoptica.com/welfare/593096227-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers