Form 5500 · Employee benefit plan · SIOUX FALLS, SD
LUVERNE SUPERMARKET, INC.
LUVERNE SUPERMARKET, INC. of SIOUX FALLS, SD insures health, dental, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is LORI LEWISON, WORKPLACE MARKET INS. Coverage is written through HEALTHPARTNERS INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-0875450 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 7 insured contracts covering health, dental, life and disability; the largest, with HEALTHPARTNERS INSURANCE COMPANY, covers 158 people.
Reported premium across the insured contracts is $1,583,367, with $50,409 in disclosed broker commissions — about 3.2% 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.
LORI LEWISON, WORKPLACE MARKET INS is the broker of record on 1 of the 7 contracts; the rest name a different broker or none.
3 carriers appear on the filing — HEALTHPARTNERS INSURANCE COMPANY, DELTA DENTAL OF SOUTH DAKOTA and RELIANCE STANDARD — with HEALTHPARTNERS INSURANCE COMPANY writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HEALTHPARTNERS INSURANCE COMPANY | Health | 158 | December | $1,455,461 | $42,460 |
| RELIANCE STANDARD | — | 16 | December | $14,412 | $2,171 |
| RELIANCE STANDARD | Life | 23 | December | $14,194 | $2,111 |
| DELTA DENTAL OF SOUTH DAKOTA | Dental | 204 | December | $81,486 | $1,570 |
| RELIANCE STANDARD | Life | 151 | December | $6,996 | $758 |
| RELIANCE STANDARD | Life | 170 | December | $6,996 | $758 |
| RELIANCE STANDARD | Disability | 8 | December | $3,822 | $581 |
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