# FOODLAND/FOODPANTRY WELFARE PLAN

Health and welfare plan sponsored by **FOODLAND SUPERMARKET, LTD**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | FOODLAND SUPERMARKET, LTD |
| EIN | 990068548 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | HONOLULU, HI |
| Industry | retail |
| Funding | fully insured |
| Total premiums | $37.6M |
| Participants | 3,366 |
| Persons covered | 2,627 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| HAWAII MEDICAL SERVICE ASSOCIATION | n/a |
| KAISER PERMANENTE | Health |
| HAWAII DENTAL SERVICE | Dental |
| METLIFE LEGAL PLANS | Life, Other |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | LTD |
| EYEMED VISION CARE | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| MERCER HEALTH AND BENEFITS, LLC | KAISER PERMANENTE |
| MERCER HEALTH AND BENEFITS, LLC | HAWAII DENTAL SERVICE |
| MERCER HEALTH AND BENEFITS, LLC | METROPOLITAN LIFE INSURANCE COMPANY |
| MERCER HEALTH AND BENEFITS, LLC | PRUDENTIAL |
| MERCER HEALTH AND BENEFITS, LLC | VISION CARE |

## 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/990068548-501
- Cite as: PlanOptica, https://planoptica.com/welfare/990068548-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers