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NISEWONGER AUDIO VISUAL CENTER
Sponsor portfolio
Welfare / Health
EIN
581908688
NISEWONGER AUDIO VISUAL CENTER
1125 CRIPPLE CREEK DR · LAWRENCEVILLE, GA 30043
7703380335
Plans filed
1
Years active
2025–2025
Industry
NAICS 42
Latest filing
2025
Total premiums (latest)
i
$65K
No prior year
Persons covered
i
11
No prior year
Total participants
i
11
No prior year
Plans filed
i
1
No prior year
Plans under this sponsor
1 plan
Plan #501
$65K
NISEWONGER AUDIO VISUAL CENTER EMPLOYEE BENEFIT PLAN
Self-funded
11 covered
·
1 carrier
Primary: AETNA LIFE INSURANCE CO.
Coverage overview
Aggregate, latest year
Benefit type
Premium
Share
Distribution
Health
$65K
50.0%
Stop-loss
$65K
50.0%
Carrier overview
1 carrier · all plans
Carrier
Coverage
Total premium
Share
Plans
Contracts
Covered
AETNA LIFE INSURANCE COMPANY
EIN 066033492
H
SL
$65K
100.0%
1
1
11
Policy details
Latest year, by plan
Plan #501
NISEWONGER AUDIO VISUAL CENTER EMPLOYEE BENEFIT PLAN
11 covered · 1 contract
$65K
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
1 document - 1 plan - 1 year