# OMEGA OPTICAL HOLDINGS, LLC WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **OMEGA OPTICAL HOLDINGS, LLC**. Form 5500 filing for plan year 2024.

| Field | Value |
|---|---|
| Sponsor | OMEGA OPTICAL HOLDINGS, LLC |
| EIN | 844724136 |
| Plan number | 501 |
| Plan year | 2024 |
| Location | BRATTLEBORO, VT |
| Industry | Manufacturing |
| Funding | fully insured |
| Total premiums | $1.9M |
| Participants | 162 |
| Persons covered | 212 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Rx, Dental, Vision, HMO, PPO |
| PRINCIPAL FINANCIAL GROUP | Life, STD, LTD, Other |
| VISION SERVICE PLAN (VSP) | Vision |
| INVEST EAP | Other |

## Brokers

| Broker | Placed with |
|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| HUB INTERNATIONAL MIDWEST LIMITED | PRINCIPAL LIFE INSURANCE COMPANY |
| HUB INTERNATIONAL MIDWEST LIMITED | VSP |

## 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/844724136-501
- Cite as: PlanOptica, https://planoptica.com/welfare/844724136-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers