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ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS, P.A.
Sponsor portfolio
Welfare / Health
EIN
410956543
ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS, P.A.
550 COUNTY ROAD D WEST, SUITE 12 · NEW BRIGHTON, MN 55112
6124350154
Plans filed
1
Years active
2024–2024
Industry
NAICS 62
Latest filing
2024
Total premiums (latest)
i
$177K
No prior year
Persons covered
i
38
No prior year
Total participants
i
38
No prior year
Plans filed
i
1
No prior year
Plans under this sponsor
1 plan
Plan #502
$177K
ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS, P.A. EMPLOYEE BENEFIT PLAN
Self-funded
38 covered
·
1 carrier
Primary: OPTUM HEALTH (UNIMERICA INSURANCE COMPANY)
Coverage overview
Aggregate, latest year
Benefit type
Premium
Share
Distribution
Stop-loss
$177K
100.0%
Carrier overview
1 carrier · all plans
Carrier
Coverage
Total premium
Share
Plans
Contracts
Covered
UNITEDHEALTHCARE INSURANCE COMPANY
EIN 521996029
SL
$177K
100.0%
1
1
38
Policy details
Latest year, by plan
Plan #502
ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS, P.A. EMPLOYEE BENEFIT PLAN
38 covered · 1 contract
$177K
Company contact details
Filing signers, plan administrators, auditors, actuaries
2 contacts
Provider details
Schedule C providers, welfare brokers and carriers
1 provider
Sponsor documents
Form 5500 filings and Top Hat statements on this EIN
18 documents - 4 plans - 9 years