Form 5500 · Employee benefit plan · BLACK RIVER FALLS, WI
BLACK RIVER MEMORIAL HOSPITAL, INC.
Public Form 5500 records show how BLACK RIVER MEMORIAL HOSPITAL, INC. (BLACK RIVER FALLS, WI) structures its employee benefits. Its broker of record is ASSUREDPARTNERS GREAT PLAINS, LLC. Coverage is written through UNUM LIFE INSURANCE COMPANY OF AMERICA and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1027536 · plan 502 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 266 | December | $24,613 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Disability | 343 | December | $16,145 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 144 | December | $9,185 |
| AMERITAS LIFE INSURANCE CORP. | Vision | 163 | December | $2,072 |
| MEDICA INSURANCE COMPANY | Stop-loss | 210 | December | $0 |
Questions
Who is BLACK RIVER MEMORIAL HOSPITAL, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, BLACK RIVER MEMORIAL HOSPITAL, INC.'s broker of record is ASSUREDPARTNERS GREAT PLAINS, LLC.
What insurance carrier does BLACK RIVER MEMORIAL HOSPITAL, INC. use?
BLACK RIVER MEMORIAL HOSPITAL, INC.'s benefit plan is written through UNUM LIFE INSURANCE COMPANY OF AMERICA, among 5 disclosed carriers.
When does BLACK RIVER MEMORIAL HOSPITAL, INC.'s group plan renew?
The most recent Schedule A policy period for BLACK RIVER MEMORIAL HOSPITAL, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from BLACK RIVER MEMORIAL HOSPITAL, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.