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Sponsor portfolioWelfare / HealthEIN 13-1624111

EVIDENT CHANGE

717 JOHN NOLEN DRIVE · MADISON, WI 53713
8003066223
Plans filed
1
Years active
2022–2025
Industry
NAICS 54
Latest filing
2025
Total premiums (latest)
$2.0M
No prior year
Persons covered
219
No prior year
Total participants
153
No prior year
Plans filed
1
No prior year

Plans under this sponsor

1 plan
Plan #501$2.0M
EVIDENT CHANGE HEALTH AND WELFARE PLAN
Fully insured219 covered·3 carriers
Primary: BLUE CROSS AND BLUE SHIELD OF WISCONSIN

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Health$2.0M23.9%
Dental$2.0M23.9%
Vision$2.0M23.9%
Prescription drug$2.0M23.9%
Other$97K1.2%
Life$90K1.1%
Short-term disability$90K1.1%
Long-term disability$90K1.1%

Carrier overview

3 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
BLUE CROSS OF CALIFORNIA
EIN 390138065
HRxDV
$2.0M95.2%11219
ANTHEM LIFE INSURANCE COMPANY
EIN 520913817
LSTDLTDOth
$90K4.4%11153
CLAREMONT EAP
EIN 943129474
Oth
$8K0.4%11150

Broker overview

1 broker · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
CRISTY JONES INSURANCE SERVICES INCSAN ANSELMO, CAANTHEM LIFE INSURANCE COMPANY, BLUE CROSS AND BLUE SHIELD OF WISCONSIN$88K$0$88K100.0%1

History & trajectory

4 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.

Policy details

Latest year, by plan
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