# HYZON MOTORS USA INC LIFE & DISABILITY PLAN

Health and welfare plan sponsored by **HYZON ABC, LLC, A DELAWARE SERIES LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | HYZON ABC, LLC, A DELAWARE SERIES LLC |
| EIN | 850615121 |
| Plan number | 504 |
| Plan year | 2025 |
| Location | CHICAGO, IL |
| Industry | Manufacturing |
| Funding | fully insured |
| Total premiums | $86K |
| Participants | 0 |
| Persons covered | 12 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, STD, LTD, Other |

## Brokers

| Broker | Placed with |
|---|---|
| ANDERSON KENNEY ASSOCIATES LLC | UNUM LIFE INSURANCE COMPANY OF AMERICA |

## 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/850615121-504
- Cite as: PlanOptica, https://planoptica.com/welfare/850615121-504
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