# FORMEL D USA, INC WRAP PLAN

Health and welfare plan sponsored by **FORMEL D USA, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | FORMEL D USA, INC. |
| EIN | 980425677 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | GREENVILLE, SC |
| Industry | Retail Trade |
| Funding | fully insured |
| Total premiums | $1.3M |
| Participants | 226 |
| Persons covered | 244 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BCBS OF SOUTH CAROLINA | Health, Rx |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, STD, LTD, Other |
| STARMOUNT LIFE INSURANCE COMPANY | Dental, Vision |

## Brokers

| Broker | Placed with |
|---|---|
| ALLIANT INSURANCE SERVICES, INC. | BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA |
| ALLIANT INSURANCE SERVICES, INC. | STARMOUNT LIFE INSURANCE COMPANY |
| ALLIANT INSURANCE SERVICES, INC. | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| ALLIANT INSURANCE SERVICES, INC. | UNUM INSURANCE COMPANY |
| GROUP BENEFIT STRATEGIES LLC | UNUM 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/980425677-501
- Cite as: PlanOptica, https://planoptica.com/welfare/980425677-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers