# J.R. SIMPLOT RETIREE MEDICAL AND LIFE INSURANCE PLAN

Health and welfare plan sponsored by **J.R. SIMPLOT COMPANY, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | J.R. SIMPLOT COMPANY, LLC |
| EIN | 820196611 |
| Plan number | 502 |
| Plan year | 2025 |
| Location | BOISE, ID |
| Industry | food production |
| Funding | mixed |
| Total premiums | $462K |
| Participants | 206 |
| Persons covered | 156 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| AETNA LIFE INSURANCE COMPANY | PPO |
| CVS HEALTH | Rx |
| STANDARD INSURANCE COMPANY | Life |

## 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/820196611-502
- Cite as: PlanOptica, https://planoptica.com/welfare/820196611-502
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers