| Sponsor | Loc | Premium | Covered | Funding | Broker |
|---|---|---|---|---|---|
| JACKSON HEWITT TAX SERVICE INC. JACKSON HEWITT TAX SERVICES, INC. WELFARE BENEFITS PLAN | NJ | $6.0M | 706 | fully insured | HUB INTERNATIONAL MIDWEST LIMITED |
| SERENITY TMS CENTERS, LLC SERENITY TMS CENTERS, LLC | UT | $3.0M | 669 | fully insured | USI INSURANCE SERVICES SOUTHWEST |
| SOUTHLAND CONCRETE SOUTHLAND CONCRETE WELFARE BENEFIT PLAN | VA | $2.5M | 389 | fully insured | — |