Form 5500 · Employee benefit plan · RAPID CITY, SD
MCKIE FORD, INC
MCKIE FORD, INC of RAPID CITY, SD is a 124-participant retail employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is ACRISURE MIDWEST PRT INS SVCS. Coverage is written through WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA and 2 other carriers. The plan's most recent policy period ended in January.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 36-3035201 · plan 504 · plan year 2025, filed Mar 25, 2026
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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 BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA, covers 62 people.
Reported premium across the insured contracts is $905,961, with $2,924 in disclosed broker commissions — about 0.3% of premium.
The health contract's policy period ended in January, while at least one ancillary line's policy period ended in December. The plan is on a split renewal cycle.
ACRISURE MIDWEST PRT INS SVCS 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 BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA, DELTA DENTAL OF SOUTH DAKOTA and THE LINCOLN NATIONAL LIFE INSURANCE COMPANY. WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | — | Jan 2, 2025 | $7,969 | $1,992 |
| DELTA DENTAL OF SOUTH DAKOTA | Dental | 43 | Jan 1, 2026 | $19,026 | $932 |
| WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA | Health | 62 | Jan 2, 2025 | $878,966 | $0 |
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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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