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Sponsor portfolioWelfare / HealthEIN 25-1476717
FORMS AND SURFACES INC
1901 WILLIAM FLYNN HIGHWAY · GLENSHAW, PA 15116
4127819003
- Plans filed
- 1
- Years active
- 2015–2025
- Industry
- NAICS 33
- Latest filing
- 2025
Total premiums (latest)
$408K
No prior year
Persons covered
532
No prior year
Total participants
437
No prior year
Plans filed
1
No prior year
Plans under this sponsor
1 plan
Coverage overview
Aggregate, latest year
| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Life | $254K | 26.2% | |
| Long-term disability | $254K | 26.2% | |
| Other | $254K | 26.2% | |
| Dental | $127K | 13.1% | |
| Health | $27K | 2.8% | |
| Vision | $27K | 2.8% | |
| Prescription drug | $27K | 2.8% |
Carrier overview
3 carriers · all plans
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 060838648 | LLTDOth | $254K | 62.2% | 1 | 1 | 488 |
EIN 231667011 | D | $127K | 31.1% | 1 | 1 | 532 |
EIN 231294723 | HRxV | $27K | 6.7% | 1 | 1 | 507 |
Broker overview
1 broker · all plans
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER | PASADENA, CA | HARTFORD LIFE AND ACCIDENT | $0 | $827 | $827 | 100.0% | 1 |
History & trajectory
11 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