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Original filing (PDF)20260121160007NAL0007409986001
NOVALIS US, LLC WELFARE BENEFITS PLAN
Form 5500
FILING_RECEIVED
NOVALIS US, LLC WELFARE BENEFITS PLAN
Health & welfare plan
Signals · 3
Late filing · 2.2 moNo auditor on fileNo recordkeeper disclosed
Active participants
290
Accounts w/ balance
—
Plan assets (EOY)
—
Net assets (EOY)
$0
Plan health score (directional)
72
/ 100
Grade B
Above-average plan
Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.
Compliance & disclosures
51
Concentration risk
75
Total plan cost
75
Vendor stack
80
Participation health
100
Knocking points off
- No independent qualified public accountant (IQPA) named.
- Filed 2.2 months past the 10.5-month grace window.
- No recordkeeper disclosed on Schedule C.
Helping the score
- Concentration not scored — Schedule of Assets PDF not yet parsed for this plan.
- No Schedule C compensation disclosed — likely a small plan or unbundled.
Decision-maker contacts
CFO / Head of HR / Benefits Manager — verified email + LinkedIn for NOVALIS US, LLC WELFARE BENEFITS PLAN.
Plan sponsor
Name
NOVALIS US, LLC WELFARE BENEFITS PLAN
EIN
83-1710316
Address
200 MUNEKATA DRIVE SE · DALTON, GA · 30721
Phone
(706) 530-9958
Industry
Retail Tradesee all
Plan administrator
Same as plan sponsor.
Plan characteristics
Plan number
502
Plan year
2024
Plan year begin
2024-01-01
Tax period
2024-12-31
Filed
2026-01-21
Welfare benefit codes
4A · Health (other than dental or vision)
4D · Dental
4E · Vision
4B · Life Insurance
4F · Temporary Disability (accident and sickness)
4H · Long-Term Disability
Audit & trust (Schedule H)
Auditor
—
Trustee / custodian
—
Trustee phone
—
Service providers (Schedule C)
2 rowsBroker
2| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD HEALTHCARE P | 58-1638390 | ATLANTA, GA | INSURANCE BROKER | $17K | — |
| MARSH & MCLENNAN AGENCY LLC | 58-1638390 | CONSHOHOCKEN, PA | INSURANCE BROKER | $0 | — |
Investments
The Schedule of Assets is filed as a free-form PDF attachment on EFAST2; we parse these offline and coverage is partial (priority is the largest plans by EOY assets). This plan also reports no pooled (Schedule D) interests, so its holdings aren’t hidden on a master-trust filing. The line-item data lives on DOL EFAST2 under the same ACK_ID.
See Methodology > Data linkages for how Form 5500 / Schedule H / Schedule D / Schedule of Assets fit together.
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