# 23XI RACING WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **23XI RACING**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | 23XI RACING |
| EIN | 852980758 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | HUNTERSVILLE, NC |
| Industry | Arts, Entertainment, and Recreation |
| Funding | mixed |
| Total premiums | $198K |
| Participants | 137 |
| Persons covered | 336 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, STD, LTD, Other |
| BCBS OF NORTH CAROLINA | Vision |
| NEW DIRECTIONS BEHAVIORAL HEALTH | Other |

## Brokers

| Broker | Placed with |
|---|---|
| INSURANCE OFFICE OF AMERICA | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| AMY LEONARD | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA |

## 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/852980758-501
- Cite as: PlanOptica, https://planoptica.com/welfare/852980758-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers