# LIFESCAN, INC WELFARE BENEFITS PLAN

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

| Field | Value |
|---|---|
| Sponsor | LIFESCAN, INC |
| EIN | 830531872 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | MALVERN, PA |
| Industry | medical devices |
| Funding | mixed |
| Total premiums | $217K |
| Participants | 91 |
| Persons covered | 188 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, LTD, Other |
| DELTA DENTAL OF CALIFORNIA | Dental |
| EYEMED VISION CARE | Vision |
| COMBINED INSURANCE COMPANY OF AMERICA | Other |

## Brokers

| Broker | Placed with |
|---|---|
| AP BENEFIT ADVISORS, LLC | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| CRAWFORD ADVISORS, LLC | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| EDGEWOOD PARTNERS INSURANCE CENTER | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| IMG | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| AP BENEFIT ADVISORS, LLC | DELTA DENTAL OF PENNSYLVANIA |
| EDGEWOOD PARTNERS INSURANCE CENTER | DELTA DENTAL OF PENNSYLVANIA |
| ASSUREDPARTNERS | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INSURANCE C |
| EDGEWOOD PARTNERS INSURANCE CENTER | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INSURANCE C |
| AP BENEFIT ADVISORS, LLC | COMBINED 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/830531872-501
- Cite as: PlanOptica, https://planoptica.com/welfare/830531872-501
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