Form 5500 · Employee benefit plan · YANKTON, SD
LEWIS CLARK BEHAVIORAL HEALTH
LEWIS CLARK BEHAVIORAL HEALTH of YANKTON, SD spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is DICE FINANCIAL SVCS GROUP INC. Coverage is written through WELLMARK OF SOUTH DAKOTA, INC. and 2 other carriers. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-0309601 · plan 501 · plan year 2024, filed Aug 23, 2024
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
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
Schedule A lists 3 insured contracts covering health, dental and life; the largest, with WELLMARK OF SOUTH DAKOTA, INC., covers 119 people.
Reported premium across the insured contracts is $1,299,135, with $3,746 in disclosed broker commissions — about 0.3% of premium.
The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.
DICE FINANCIAL SVCS GROUP INC 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 WELLMARK OF SOUTH DAKOTA, INC., DELTA DENTAL and STANDARD INSURANCE COMPANY. WELLMARK OF SOUTH DAKOTA, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| STANDARD INSURANCE COMPANY | Life | 163 | Apr 1, 2024 | $26,778 | $2,218 |
| DELTA DENTAL | Dental | 109 | Apr 1, 2024 | $79,297 | $1,528 |
| WELLMARK OF SOUTH DAKOTA, INC. | Health | 119 | Apr 1, 2024 | $1,193,060 | $0 |
Premium and claims on this contract
STANDARD INSURANCE COMPANY, contract 164272. For the contract year on this filing, the carrier reported $24,673 in premium earned and $1,333 in claims incurred. Dividing one by the other gives 5%.
- STANDARD INSURANCE COMPANY, contract 164272 reported $23,341 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Other plans filed by this employer
How this plan compares
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