# AMADA NORTH AMERICA, INC. EMPLOYEE BENEFIT PLAN

Health and welfare plan sponsored by **AMADA NORTH AMERICA, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | AMADA NORTH AMERICA, INC. |
| EIN | 910862945 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | BUENA PARK, CA |
| Industry | Manufacturing |
| Funding | fully insured |
| Total premiums | $24.0M |
| Participants | 996 |
| Persons covered | 2,981 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Rx, HMO, PPO |
| METLIFE LEGAL PLANS | Dental, PPO |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Life, STD, LTD, Other |
| VISION SERVICE PLAN (VSP) | Vision |
| METROPOLITAN GENERAL INSURANCE COMPANY | Other |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | Other |
| FOUR EVER LIFE INSURANCE COMPANY | Health |
| PETERSEN INTERNATIONAL UNDERWRITERS | Other |

## Brokers

| Broker | Placed with |
|---|---|
| THOMAS SEIGNER | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES |
| EDMONDS INSURANCE SERVICES, INC. | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES |
| THOMAS SEIGNER | CIGNA HEALTHCARE OF CALIFORNIA |
| EDMONDS INSURANCE SERVICES, INC. | CIGNA HEALTHCARE OF CALIFORNIA |
| PLANSOURCE BENEFIT ADMINISTRATION | METROPOLITAN LIFE INSURANCE COMPANY |
| EDMONDS INSURANCE SERVICES, INC. | METROPOLITAN LIFE INSURANCE COMPANY |
| THOMAS SEIGNER | METROPOLITAN LIFE INSURANCE COMPANY |
| EDMONDS INSURANCE SERVICES, INC. | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| GALLAGHER BENEFIT SERVICES, INC. | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| THOMAS SEIGNER | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| AMWINS | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| SYNERGY ENROLLMENT & BENEFITS LLC | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| JOHN R. EDMONDS | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| EDMONDS INSURANCE SERVICES, INC. | VISION SERVICE PLAN |
| THOMAS SEIGNER | VISION SERVICE PLAN |
| GALLAGHER BENEFIT SERVICES, INC. | METROPOLITAN GENERAL INSURANCE COMPANY |
| TURKMANY & ASSOCIATES, INC. | METROPOLITAN GENERAL INSURANCE COMPANY |
| EDMONDS INSURANCE SERVICES, INC. | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| THOMAS SEIGNER | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| THOMAS SEIGNER | FOUR EVER LIFE INS CO. |
| EDMONDS INSURANCE SERVICES, INC. | FOUR EVER LIFE INS CO. |
| TOM SEIGNER | PETERSEN INTERNATIONAL UNDERWRITERS |

## 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/910862945-501
- Cite as: PlanOptica, https://planoptica.com/welfare/910862945-501
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