# PURECYCLE TECHNOLOGIES, INC. HEALTH & WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **PURECYCLE TECHNOLOGIES, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | PURECYCLE TECHNOLOGIES, INC. |
| EIN | 862293091 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | ORLANDO, FL |
| Industry | plastics |
| Funding | fully insured |
| Total premiums | $2.9M |
| Participants | 170 |
| Persons covered | 169 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BLUE CROSS BLUE SHIELD OF FLORIDA | Health |
| MUTUAL OF OMAHA INSURANCE COMPANY | LTD, Life, Other, STD, Vision |
| COMBINED INSURANCE COMPANY OF AMERICA | Dental, PPO |
| STANDARD INSURANCE COMPANY | Other |
| MED INVESTORS DEVELOPMENT, LLC DBA ONE TO ONE HEALTH | Other |

## Brokers

| Broker | Placed with |
|---|---|
| MCGRIFF INSURANCE SERVICES INC | BLUE CROSS BLUE SHIELD OF FLORIDA |
| MCGRIFF INSURANCE SERVICES INC | FLORIDA COMBINED LIFE |
| FLORIDA BLUE | FLORIDA COMBINED LIFE |
| MCGRIFF INSURANCE SERVICES INC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| THE BENEFIT COMPANY INC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| THE BENEFIT COMPANY INC | STANDARD INSURANCE COMPANY |
| MCGRIFF INSURANCE SERVICES INC | STANDARD INSURANCE COMPANY |
| MARSH & MCLENNAN AGENCY LLC | STANDARD 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/862293091-501
- Cite as: PlanOptica, https://planoptica.com/welfare/862293091-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers