# COMPREHENSIVE BENEFIT PLAN FOR THE EMPLOYEES OF ALLIED TELESIS, INC.

Health and welfare plan sponsored by **ALLIED TELESIS, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | ALLIED TELESIS, INC. |
| EIN | 770165055 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | EVERETT, WA |
| Industry | computer networking |
| Funding | fully insured |
| Total premiums | $3.7M |
| Participants | 176 |
| Persons covered | 309 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Rx, Vision, PPO |
| KAISER PERMANENTE | Health, Rx, HMO |
| DELTA DENTAL OF WASHINGTON | Dental |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, STD, LTD, Other |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life |
| STANDARD INSURANCE COMPANY | Other |

## Brokers

| Broker | Placed with |
|---|---|
| GALLAGHER BENEFIT SERVICES, INC. | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | KAISER FOUNDATION HEALTH PLAN, INC. |
| GALLAGHER BENEFIT SERVICES, INC. | DELTA DENTAL OF WASHINGTON |
| GALLAGHER BENEFIT SERVICES, INC. | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| GALLAGHER BENEFIT SERVICES, INC. | STANDARD 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/770165055-501
- Cite as: PlanOptica, https://planoptica.com/welfare/770165055-501
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