Plan Ledger DOL Form 5500 · updated monthly

Lumentum Operations LLCbenefits

Neophotonics Health & Welfare Plan · SAN JOSE, CA · plan year 2023

Broker compensation reported · 2023
$64,774

Lumentum Operations LLC's benefits plan covered 0 active participants in 2023, providing health · life · dental · vision · short-term disability · long-term disability · death benefits · other. Insurance brokers and agents were paid $64,774 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage.

Insurance contracts · 20234
KAISER FOUNDATION HEALTH PLAN INC · health drug hmopremiums n/a · 80 covered
CIGNA HEALTH AND LIFE INSURANCE COMPANY · healthpremiums n/a · 1 covered
SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION · dental hmopremiums n/a · 20 covered
METROPOLITAN LIFE INSURANCE COMPANY · dental vision life std ltdpremiums n/a · 461 covered
Brokers & agents paid · 20233
ABD INS AND FINANCIAL SVCS, INC$12,977 · incl $11,881 fees
WILLIS TOWERS WATSON INS SVCS WEST$30,488 · incl $5,097 fees
Also brokered by Wtw5

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 943253730 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.