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ELY CONCRETE CONSTRUCTION, LLC
Sponsor portfolio
Welfare / Health
EIN
452697426
ELY CONCRETE CONSTRUCTION, LLC
10 KELLI CLARK COURT · CARTERSVILLE, GA 30121
7066133090
Plans filed
2
Years active
2018–2024
Industry
NAICS 23
Latest filing
2024
Total premiums (latest)
i
$174K
No prior year
Persons covered
i
27
No prior year
Total participants
i
27
No prior year
Plans filed
i
2
No prior year
Plans under this sponsor
2 plans
Plan #501
$174K
ELY CONCRETE CONSTRUCTION, LLC GROUP BENEFIT PLAN (501)
Self-funded
27 covered
·
1 carrier
Primary: HM LIFE INSURANCE COMPANY
Plan #502
$50K
ELY CONCRETE CONSTRUCTION, LLC GROUP INSURANCE PLAN
Fully insured
63 covered
·
1 carrier
Primary: UNITED OF OMAHA LIFE INSURANCE COMPANY
Coverage overview
Aggregate, latest year
Benefit type
Premium
Share
Distribution
Stop-loss
$174K
100.0%
Carrier overview
1 carrier · all plans
Carrier
Coverage
Total premium
Share
Plans
Contracts
Covered
HM LIFE INSURANCE COMPANY
EIN 061041332
SL
$174K
100.0%
1
1
27
History & trajectory
7 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
Plan #501
ELY CONCRETE CONSTRUCTION, LLC GROUP BENEFIT PLAN (501)
27 covered · 1 contract
$174K
Plan #502
ELY CONCRETE CONSTRUCTION, LLC GROUP INSURANCE PLAN
63 covered · 4 contracts
$50K
Company contact details
Filing signers, plan administrators, auditors, actuaries
1 contact
Provider details
Schedule C providers, welfare brokers and carriers
1 provider
Sponsor documents
Form 5500 filings and Top Hat statements on this EIN
11 documents - 3 plans - 9 years