# EMERALD FOREST PRODUCTS, INC. HEALTH & WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **EMERALD FOREST PRODUCTS, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | EMERALD FOREST PRODUCTS, INC. |
| EIN | 930763216 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | EUGENE, OR |
| Industry | industrial automation |
| Funding | mixed |
| Total premiums | $1.4M |
| Participants | 284 |
| Persons covered | 288 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| PROVIDENCE HEALTH PLAN | Health, Rx, Vision |
| HARTFORD LIFE AND ACCIDENT | Life, Other |

## Brokers

| Broker | Placed with |
|---|---|
| IMA FINANCIAL GROUP | PROVIDENCE HEALTH PLAN |
| K.P.D. INSURANCE, LLC | HARTFORD LIFE AND ACCIDENT |
| IMA FINANCIAL GROUP | HARTFORD LIFE AND ACCIDENT |

## 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/930763216-501
- Cite as: PlanOptica, https://planoptica.com/welfare/930763216-501
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