Plan Ledger DOL Form 5500 · updated monthly

Black River Health, Incbenefits

Black River Health, Inc Employee Benefits Plan · BLACK RIVER FALLS, WI · plan year 2025

Broker compensation reported · 2025
$136,521

Black River Health, Inc's benefits plan covered 446 active participants in 2025, providing health · life · dental · vision · short-term disability · long-term disability · other. Insurance brokers and agents were paid $136,521 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $306 per covered person, above the median for employer plans that report broker pay.

Insurance contracts · 20258
UNUM LIFE INSURANCE COMPANY OF AMERICA · ltdpremiums n/a · 446 covered
MEDICA INSURANCE COMPANY · stop-losspremiums n/a · 313 covered
UNUM INSURANCE COMPANYpremiums n/a · 18 covered
UNUM INSURANCE COMPANYpremiums n/a · 86 covered
UNUM INSURANCE COMPANYpremiums n/a · 100 covered
AMERITAS LIFE INSURANCE CORP. · visionpremiums n/a · 234 covered
UNUM LIFE INSURANCE COMPANY OF AMERICA · lifepremiums n/a · 187 covered
UNUM LIFE INSURANCE COMPANY OF AMERICA · life std ltdpremiums n/a · 366 covered
Brokers & agents paid · 20253
ASSUREDPARTNERS GREAT PLAINS$74,042 · incl $7,729 fees
JASON SCZEPANIAK$46,428 · incl $30,916 fees
ASSUREDPARTNERS GREAT PLAINS LLC$16,051 · incl $1,939 fees
Also brokered by Assuredpartners Great Plains5

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Source: DOL Form 5500 Schedule A, plan year 2025, EIN 391027536 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.