# GEN 4 DENTAL PARTNERS OPCO, LLC EMPLOYEE BENEFITS PLAN

Health and welfare plan sponsored by **GEN 4 DENTAL PARTNERS OPCO, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | GEN 4 DENTAL PARTNERS OPCO, LLC |
| EIN | 862821806 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | TEMPE, AZ |
| Industry | hospital & health care |
| Funding | fully insured |
| Total premiums | $7.0M |
| Participants | 1,382 |
| Persons covered | 1,441 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Rx, Dental, Indemnity, Other |
| KAISER PERMANENTE | Health |
| UNITEDHEALTHCARE INSURANCE COMPANY | Life, STD, LTD, Other |
| MUTUAL OF OMAHA INSURANCE COMPANY | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| ALERA GROUP, INC. | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| ALERA GROUP, INC. | KAISER FOUNDATION HEALTH PLAN, INC. |
| ALERA GROUP, INC. | UNITEDHEALTHCARE INSURANCE COMPANY |
| ALERA GROUP, INC. | UNITED OF OMAHA 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/862821806-501
- Cite as: PlanOptica, https://planoptica.com/welfare/862821806-501
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