# LOOKING GLASS COMMUNITY SERVICES HEALTH & WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **LOOKING GLASS COMMUNITY SERVICES**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | LOOKING GLASS COMMUNITY SERVICES |
| EIN | 930605174 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | EUGENE, OR |
| Industry | individual & family services |
| Funding | fully insured |
| Total premiums | $2.1M |
| Participants | 271 |
| Persons covered | 300 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| PACIFICSOURCE HEALTH PLANS | Health, Rx |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, LTD, Other |
| WILLAMETTE DENTAL INSURANCE, INC. | Dental |
| LINCOLN FINANCIAL GROUP | Dental |
| VISION SERVICE PLAN (VSP) | Vision |
| CASCADE HEALTH | Other |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Other |
| MEDICAL AIR SERVICES ASSOCIATION, INC. | Health, Rx |

## Brokers

| Broker | Placed with |
|---|---|
| WORLD INSURANCE ASSOCIATES LLC | PACIFICSOURCE HEALTH PLANS |
| WORLD INSURANCE ASSOCIATES LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| WORLD INSURANCE ASSOCIATES LLC | WILLAMETTE DENTAL INSURANCE, INC. |
| WORLD INSURANCE ASSOCIATES LLC | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY |
| IMA FINANCIAL GROUP | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY |
| WORLD INSURANCE ASSOCIATES LLC | VISION SERVICE PLAN |
| WORLD INSURANCE ASSOCIATES LLC | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| MARGARET BRYANT | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| LISA BILGEN DE HERRERA | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| KEITH HOWARD LEFEVRE | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| MARCI TALBURT | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| PAMELA COPLE SMITH | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| BENEFITS BY DESIGN INC | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| WORLD INSURANCE ASSOCIATES LLC | MEDICAL AIR SERVICES ASSOCIATION, INC. |

## 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/930605174-503
- Cite as: PlanOptica, https://planoptica.com/welfare/930605174-503
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