form5500lookup

Form 5500 · Employee benefit plan · ABERDEEN, SD

JAMES P. KOEHLER

JAMES P. KOEHLER of ABERDEEN, SD is a 454-participant hospitality and food service employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through MEDICA INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-0650251 · plan 506 · as of Aug 2026

Participants
454
Carriers on file
4
Disclosed commissions
$80,631
Renewal month
December

Plan brief

Schedule A lists 4 insured contracts covering health, dental, vision and life; the largest, with MEDICA INSURANCE COMPANY, covers 201 people.

Reported premium across the insured contracts is $2,440,762, with $80,631 in disclosed broker commissions — about 3.3% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

USI INSURANCE SERVICES LLC is the broker of record on all 4 contracts.

4 carriers appear on the filing — MEDICA INSURANCE COMPANY, STARMOUNT LIFE INSURANCE COMPANY, UNUM LIFE INSURANCE COMPANY OF AMERICA and LIFE INSURANCE COMPANY OF NORTH AMERICA — with MEDICA INSURANCE COMPANY writing the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
MEDICA INSURANCE COMPANYHealth201December$2,243,677$52,344
UNUM LIFE INSURANCE COMPANY OF AMERICA276December$55,758$12,756
STARMOUNT LIFE INSURANCE COMPANYDental, Vision201December$94,986$9,149
LIFE INSURANCE COMPANY OF NORTH AMERICALife187December$46,341$6,382

More employer plans in South Dakota — largest plans, brokers, carriers and renewal months.