# AMITY CARE WELFARE BENEFIT PLAN

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

| Field | Value |
|---|---|
| Sponsor | AMITY CARE, LLC |
| EIN | 731554671 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | OKLAHOMA CITY, OK |
| Industry | Health Care and Social Assistance |
| Funding | fully insured |
| Total premiums | $10.5M |
| Participants | 879 |
| Persons covered | 875 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health, Rx |
| DELTA DENTAL | Dental |
| SUN LIFE FINANCIAL | Life, STD, Other |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| GALLAGHER BENEFIT SERVICES, INC. | BLUECROSS BLUESHIELD OF OKLAHOMA |
| GALLAGHER BENEFIT SERVICES, INC. | DELTA DENTAL |
| GALLAGHER BENEFIT SERVICES, INC. | SUN LIFE ASSURANCE COMPANY OF CANADA |
| GALLAGHER BENEFIT SERVICES, INC. | 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/731554671-501
- Cite as: PlanOptica, https://planoptica.com/welfare/731554671-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers