Plan Ledger DOL Form 5500 · updated monthly

Tomah Memorial Hospitalbenefits

Health Benefits for Employees of Tomah Memorial Hospital · TOMAH, WI · plan year 2025

Broker compensation reported · 2025
$15,847

Tomah Memorial Hospital's benefits plans covered — active participants in 2025, providing health · dental · vision. Insurance premiums totaled $285,105. Insurance brokers and agents were paid $15,847 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That works out to 5.6% of premiums. Broker pay rose 5.7% from $14,996 in 2024.

Insurance contracts · 20254
DELTA DENTAL OF WISCONSIN · dental$285K · 274 covered
COMPCARE HEALTH SERVICES INSURANCE CORPORATION · health ppopremiums n/a · 268 covered
WYSSTA INSURANCE COMPANY INC · visionpremiums n/a · 183 covered
BERKLEY LIFE AND HEALTH INSURANCE COMPANY · healthpremiums n/a · 282 covered
Brokers & agents paid · 20251
ASSUREDPARTNERS GREAT PLAINS$15,847
Also brokered by Assuredpartners Great Plains5

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Source: DOL Form 5500 Schedule A, plan year 2025, EIN 390799566 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.