Form 5500 · Employee benefit plan · ELKRIDGE, MD
PERI FORMWORK SYSTEMS, INC.
PERI FORMWORK SYSTEMS, INC. of ELKRIDGE, MD files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is AP BENEFIT ADVISORS, LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 10 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-2867244 · plan 503 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental | 307 | December | $4,433 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 514 | December | $1,782 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 81 | December | $1,649 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 545 | December | $1,636 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 385 | December | $1,581 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 65 | December | $1,124 |
| EYEMED VISION CARE | Vision | 430 | December | $1,068 |
| LIFE INSURANCE COMPANY OF NA | — | 175 | December | $832 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 2 | December | $447 |
| LIFE INSURANCE COMPANY OF NA | — | 385 | December | $290 |
| LIFE INSURANCE COMPANY OF NA | — | 396 | December | $173 |
Questions
Who is PERI FORMWORK SYSTEMS, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, PERI FORMWORK SYSTEMS, INC.'s broker of record is AP BENEFIT ADVISORS, LLC.
What insurance carrier does PERI FORMWORK SYSTEMS, INC. use?
PERI FORMWORK SYSTEMS, INC.'s benefit plan is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY, among 11 disclosed carriers.
When does PERI FORMWORK SYSTEMS, INC.'s group plan renew?
The most recent Schedule A policy period for PERI FORMWORK SYSTEMS, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from PERI FORMWORK SYSTEMS, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.