# CARREFOUR ASSOCIATES, LLC GROUP HEALTH PLAN

Health and welfare plan sponsored by **CARREFOUR ASSOCIATES, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | CARREFOUR ASSOCIATES, LLC |
| EIN | 731493074 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | TULSA, OK |
| Industry | hospital & health care |
| Funding | mixed |
| Total premiums | $747K |
| Participants | 436 |
| Persons covered | 436 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| ONE AMERICA | Life, STD, LTD, Other |
| UNITEDHEALTHCARE INSURANCE COMPANY | Other |
| DELTA DENTAL | Dental |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| BOESCHEN ADVISORS LLC | AMERICAN UNITED LIFE INSURANCE COMPANY |
| PROFESSIONAL BENEFIT ADMINISTRATORS | AMERICAN UNITED LIFE INSURANCE COMPANY |
| WILLIAM M ALLISON | AMERICAN UNITED LIFE INSURANCE COMPANY |
| AMWINS | AMERICAN UNITED LIFE INSURANCE COMPANY |
| PROFESSIONAL BENEFIT ADMINISTRATORS | RESERVE NATIONAL INSURANCE COMPANY |
| BOESCHEN ADVISORS LLC | RESERVE NATIONAL INSURANCE COMPANY |
| WILLIAM M ALLISON | RESERVE NATIONAL INSURANCE COMPANY |
| PROFESSIONAL BENEFIT ADMINISTRATORS | DELTA DENTAL |
| PROFESSIONAL BENEFIT ADMINISTRATORS | VISION SERVICE PLAN |

## 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/731493074-501
- Cite as: PlanOptica, https://planoptica.com/welfare/731493074-501
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