# COSA MEDICAL, LLC EMPLOYEE HEALTH & WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **COSA MEDICAL, LLC**. Form 5500 filing for plan year 2026.

| Field | Value |
|---|---|
| Sponsor | COSA MEDICAL, LLC |
| EIN | 992197474 |
| Plan number | 501 |
| Plan year | 2026 |
| Location | PLAIN CITY, OH |
| Industry | Wholesale Trade |
| Funding | self funded |
| Total premiums | $184K |
| Participants | 37 |
| Persons covered | 37 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| COMPANION LIFE INSURANCE COMPANY | Health, Rx, Stop-loss |

## Brokers

| Broker | Placed with |
|---|---|
| EMERALD FINANCIAL SERVICES | COMPANION LIFE INSURANCE CO |
| BAC AGENCY, INC. | COMPANION LIFE INSURANCE CO |

## 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/992197474-501
- Cite as: PlanOptica, https://planoptica.com/welfare/992197474-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers
