Form 5500 · Employee benefit plan · MEDFORD, NJ
HAZTEK, INC.
HAZTEK, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is MY BENEFIT ADVISOR, LLC. Coverage is written through PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 22-3495303 · plan 505 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | 77 | December | $11,166 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 141 | December | $10,237 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 308 | December | $8,567 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 165 | December | $5,341 |
| VISION SERVICE PLAN | Vision | 164 | December | $2,261 |
| PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | 61 | December | $1,132 |
| AETNA LIFE INSURANCE COMPANY | Dental | 397 | June | $0 |
| COUNTRYWIDE PRE-PAID LEGAL SERVICES, INC. | — | 48 | December | $0 |
Questions
Who is HAZTEK, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, HAZTEK, INC.'s broker of record is MY BENEFIT ADVISOR, LLC.
What insurance carrier does HAZTEK, INC. use?
HAZTEK, INC.'s benefit plan is written through PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY, among 8 disclosed carriers.
When does HAZTEK, INC.'s group plan renew?
The most recent Schedule A policy period for HAZTEK, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from HAZTEK, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.