# FORMENTERA OPERATIONS LLC WRAP PLAN

Health and welfare plan sponsored by **FORMENTERA OPERATIONS LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | FORMENTERA OPERATIONS LLC |
| EIN | 851624801 |
| Plan number | 502 |
| Plan year | 2025 |
| Location | AUSTIN, TX |
| Industry | financial services |
| Funding | fully insured |
| Total premiums | $5.2M |
| Participants | 271 |
| Persons covered | 789 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health, Dental |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Vision, Life, STD, LTD, Other |

## Brokers

| Broker | Placed with |
|---|---|
| ALLIANT INSURANCE SERVICES, INC. | BLUECROSS BLUESHIELD OF TEXAS |
| ALLIANT INSURANCE SERVICES, INC. | GUARDIAN |

## 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/851624801-502
- Cite as: PlanOptica, https://planoptica.com/welfare/851624801-502
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers