# MOUNTAIN STATES CONTRACTING HEALTH AND WELFARE PLAN

Health and welfare plan sponsored by **MOUNTAIN STATES CONTRACTING**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | MOUNTAIN STATES CONTRACTING |
| EIN | 860449502 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | PHOENIX, CA |
| Industry | construction |
| Funding | mixed |
| Total premiums | $111K |
| Participants | 112 |
| Persons covered | 151 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| DELTA DENTAL OF ARIZONA | Dental |
| SUN LIFE FINANCIAL | LTD |
| VISION SERVICE PLAN (VSP) | Vision |
| TOKIO MARINE HCC | Other |

## Brokers

| Broker | Placed with |
|---|---|
| ALLIANT INSURANCE SERVICES, INC. | DELTA DENTAL OF ARIZONA |
| ALLIANT INSURANCE SERVICES, INC. | SUN LIFE ASSURANCE COMPANY OF CANADA |
| ALLIANT INSURANCE SERVICES, INC. | VISION SERVICE PLAN |
| ALLIANT INSURANCE SERVICES, INC. | HCC LIFE 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/860449502-501
- Cite as: PlanOptica, https://planoptica.com/welfare/860449502-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers