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Sponsor portfolioWelfare / HealthEIN 22-3617107

ULMA FORM WORKS, INC

16-00 ROUTE 208 SOUTH, LL4 · FAIRLAWN, NJ 07410
2028821122
Plans filed
1
Years active
2020–2025
Industry
NAICS 53
Latest filing
2025
Total premiums (latest)
$1.8M
No prior year
Persons covered
205
No prior year
Total participants
116
No prior year
Plans filed
1
No prior year

Plans under this sponsor

1 plan
Plan #501$1.8M
ULMA FORM WORKS BENEFIT PLAN
Fully insured205 covered·3 carriers
Primary: HORIZON HEALTHCARE SERVICES, INC.

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Health$1.6M42.6%
Prescription drug$1.6M42.6%
Dental$185K4.9%
Life$185K4.9%
Long-term disability$185K4.9%
Vision$12K0.3%

Carrier overview

3 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
HORIZON HEALTHCARE SERVICES, INC.
EIN 220999690
HRx
$1.6M89.1%1177
PRINCIPAL LIFE INSURANCE COMPANY
EIN 420127290
DLLTD
$185K10.2%11205
VISION SERVICE PLAN
EIN 061227840
V
$12K0.7%1180

Broker overview

5 brokers · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
ALTOMARE FINANCIAL GROUP, INC.WAYNE, NJHORIZON HEALTHCARE SERVICES, INC.$79K$16K$95K78.1%1
ADVANTEDGE BENEFITS GROUP CORPWAYNE, NJVISION SERVICE PLAN, PRINCIPAL LIFE INSURANCE COMPANY$14K$0$14K11.7%1
JAMES R NELLIGAN & ASSOCIATES LLCWALL TOWNSHIP, NJPRINCIPAL LIFE INSURANCE COMPANY$0$12K$12K9.6%1
CENTERSTONE INSURANCE AND FINANCIALDALLAS, TXVISION SERVICE PLAN$610$0$6100.5%1
DIGITAL INSURANCE LLCATLANTA, GAPRINCIPAL LIFE INSURANCE COMPANY$0$66$660.1%1

History & trajectory

6 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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