# INTELSAT GROUP WELFARE BENEFITS PLAN

Health and welfare plan sponsored by **INTELSAT US LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | INTELSAT US LLC |
| EIN | 954607698 |
| Plan number | 512 |
| Plan year | 2025 |
| Location | MCLEAN, VA |
| Industry | Information |
| Funding | mixed |
| Total premiums | $4.9M |
| Participants | 0 |
| Persons covered | 1,657 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| SYMETRA LIFE INSURANCE COMPANY | Stop-loss |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | Life, STD, LTD, Indemnity, Other |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Rx, PPO |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Other |
| HEALTH ADVOCATE SOLUTIONS, INC. | Other |
| DELAWARE AMERICAN LIFE INSURANCE COMPANY | Life, LTD, Other |
| NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | STD |
| ZURICH AMERICAN INSURANCE COMPANY | Other |

## Brokers

| Broker | Placed with |
|---|---|
| WILLIS TOWERS WATSON US LLC | SYMETRA LIFE INSURANCE COMPANY |
| EMPYREAN INSURANCE SERVICES, INC. | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| WILLIS TOWERS WATSON US LLC | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| WILLIS TOWERS WATSON US LLC | CIGNA HEALTH INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | CIGNA HEALTH INSURANCE COMPANY |
| WILLIS TOWERS WATSON US LLC | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| WILLIS TOWERS WATSON US LLC | DELAWARE AMERICAN LIFE INSURANCE OF AMERICA |
| GALLAGHER BENEFIT SERVICES, INC. | DELAWARE AMERICAN LIFE INSURANCE OF AMERICA |

## 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/954607698-512
- Cite as: PlanOptica, https://planoptica.com/welfare/954607698-512
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