# PLATINUM DERMATOLOGY PARTNERS HEALTH AND WELFARE GROUP BENEFIT PLAN

Health and welfare plan sponsored by **PLATINUM DERMATOLOGY PARTNERS**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | PLATINUM DERMATOLOGY PARTNERS |
| EIN | 812449922 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | DALLAS, TX |
| Industry | medical practice |
| Funding | fully insured |
| Total premiums | $16.2M |
| Participants | 1,801 |
| Persons covered | 2,236 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health, Rx, Dental, PPO |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, STD, LTD, Other |
| STARMOUNT LIFE INSURANCE COMPANY | Vision |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | Other |

## Brokers

| Broker | Placed with |
|---|---|
| USI INSURANCE SERVICES LLC | BLUECROSS BLUESHIELD OF TEXAS |
| USI INSURANCE SERVICES LLC | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| SELERIX INSURANCE SERVICES, LLC | UNUM INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | UNUM INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | STARMOUNT INSURANCE COMPANY |
| LOCKTON COMPANIES, LLC | PRE-PAID LEGAL SERVICES 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/812449922-501
- Cite as: PlanOptica, https://planoptica.com/welfare/812449922-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers