# MODEL N INC. EMPLOYEE BENEFIT PLAN

Health and welfare plan sponsored by **MODEL N INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | MODEL N INC. |
| EIN | 770528806 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | REDWOOD CITY, CA |
| Industry | computer software |
| Funding | fully insured |
| Total premiums | $9.4M |
| Participants | 432 |
| Persons covered | 925 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| AETNA LIFE INSURANCE COMPANY | Health, Dental |
| KAISER PERMANENTE | Health, Rx, HMO |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, STD, LTD, Other |
| VISION SERVICE PLAN (VSP) | Vision |
| METLIFE LEGAL PLANS | Dental |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | Other |

## Brokers

| Broker | Placed with |
|---|---|
| ACRISURE LLC | AETNA LIFE INSURANCE CO. |
| ACRISURE LLC | KAISER FOUNDATION HEALTH PLAN INC |
| ACRISURE LLC | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| ACRISURE LLC | UNUM LIFE INSURANCE COMPANY OF AMERICAN |
| ACRISURE LLC | KAISER FOUNDATION HEALTH PLAN OF COLORADO |
| LEE SCHEUER | KAISER FOUNDATION HEALTH PLAN OF COLORADO |
| ACRISURE LLC | VISION SERVICE PLAN |
| ACRISURE LLC | METROPOLITAN LIFE INSURANCE COMPANY |
| RHONA S UNSELL INC | PRE-PAID SERVICE INC DBA LEGALSHIELD |

## 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/770528806-501
- Cite as: PlanOptica, https://planoptica.com/welfare/770528806-501
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