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Form 5500 · Employee benefit plan · SCOTTSBLUFF, NE

LEGACY COOPERATIVE

The filing calls this plan LEGACY COOPERATIVE HEALTH INSURANCE WELFARE PLAN.

Public Form 5500 records show how LEGACY COOPERATIVE of SCOTTSBLUFF, NE, a agriculture employer, structures its employee benefits. Its broker of record is ACRISURE NORTHWEST PARTNERS. Coverage is written through PROCARE RX and 2 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
ACRISURE NORTHWEST PARTNERS
Insurance carrier
PROCARE RX
Policy year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-0155610 · plan 501 · plan year 2025, filed Jun 11, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

How this plan is funded

Funding not settled by the filing

The filing does not report enough to settle how this plan pays for benefits.

All participants at the start of the year
164
Active at start of year
164
Active at end of year
188
Disclosed commissions
$12,964
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — PROCARE RX188 of 164 participants
Dentalnot declared on this filing
Visiondeclared under plan 503
Lifedeclared under plan 502
Disabilitydeclared under plan 502

Also declared: other welfare.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

All 3 insured contracts are health coverage, split across PROCARE RX, HCC LIFE INSURANCE COMPANY and MEDICAL AIR SERVICES ASSOCIATION, INC..

Reported premium across the insured contracts is $385,317, with $12,964 in disclosed broker commissions — about 3.4% 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.

ACRISURE NORTHWEST PARTNERS is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.

3 carriers appear on the filing, including PROCARE RX, HCC LIFE INSURANCE COMPANY and MEDICAL AIR SERVICES ASSOCIATION, INC.. PROCARE RX writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
MEDICAL AIR SERVICES ASSOCIATION, INC.—115Jan 1, 2026$8,582$4,557
HCC LIFE INSURANCE COMPANY—186Jan 1, 2026$44,159$4,416
PROCARE RXHealth188Jan 1, 2026$332,576$3,991

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Other plans filed by this employer

Life Insurance Welfare PlanInsured benefit plan · 2 Schedule A contractsRenews ~Jan 1Vision Insurance PlanInsured benefit plan · 1 Schedule A contractRenews ~Jan 1Co-Op 401(K) PlanForm 5500 filing · no insured Schedule A contracts

How this plan compares

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