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Sponsor portfolioWelfare / HealthEIN 20-5062522

LARISSA HAYKINSON

885 S COLLEGE MALL ROAD · BLOOMINGTON, IN 47401
3106994884
Plans filed
1
Years active
2023–2025
Industry
NAICS 54
Latest filing
2025
Total premiums (latest)
$1.6M
No prior year
Persons covered
198
No prior year
Total participants
99
No prior year
Plans filed
1
No prior year

Plans under this sponsor

1 plan
Plan #501$1.6M
FORMASSEMBLY, INC. EMPLOYEE BENEFITS PLAN
Fully insured198 covered·2 carriers
Primary: ANTHEM INSURANCE COMPANIES, INC.

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Health$1.4M37.0%
Prescription drug$1.4M37.0%
Dental$170K4.3%
Vision$170K4.3%
Life$170K4.3%
Short-term disability$170K4.3%
Long-term disability$170K4.3%
Other$170K4.3%

Carrier overview

2 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
ANTHEM LIFE INSURANCE COMPANY
EIN 350781558
HRx
$1.4M89.5%11198
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
EIN 135123390
DVLSTDLTDOth
$170K10.5%11110

Broker overview

3 brokers · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
ONI RISK PARTNERS INCINDIANAPOLIS, INANTHEM INSURANCE COMPANIES, INC.$31K$320$32K57.0%1
INTEGRO INSURANCE BROKERSCARMEL, INGUARDIAN$19K$2K$21K38.7%1
WATCHTOWER BENEFITS, LLCCHICAGO, ILGUARDIAN$2K$0$2K4.3%1

History & trajectory

3 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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