Form 5500 · Employee benefit plan · SIOUX FALLS, SD
POET, LLC
The filing calls this plan POET EMPLOYEE GROUP HEALTH BENEFIT PLAN.
POET, LLC of SIOUX FALLS, SD is a 2,406-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is HUB INTERNATIONAL GREAT PLAINS LLC. Coverage is written through DELTA DENTAL OF SOUTH DAKOTA and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-4218604 · plan 501 · plan year 2025, filed Mar 23, 2026
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How this plan is funded
Self-funded as reported
The filing names a third-party administrator on Schedule A and reports no medical premium.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
One contract on this filing does not say which benefits it covers, so a line above may be insured by it.
Also declared: death benefits, 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
Schedule A lists 4 insured contracts covering dental, vision, life and disability; the largest, with DELTA DENTAL OF SOUTH DAKOTA, covers 5,173 people.
The filing declares dental, vision, life, disability and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on the contract here that does not say what it covers.
Reported premium is $3,833,194; the filing discloses no broker commission on these contracts.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
HUB INTERNATIONAL GREAT PLAINS LLC is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DELTA DENTAL OF SOUTH DAKOTA | Dental | 5,173 | Jan 1, 2026 | $1,783,351 | $0 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 2,403 | Jan 1, 2026 | $1,530,440 | $0 |
| VISION SERVICE PLAN | Vision | 2,621 | Jan 1, 2026 | $371,713 | $0 |
| MUTUAL OF OMAHA INSURANCE COMPANY | — | 2,992 | Jan 1, 2026 | $147,690 | $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.
Reported to OSHA
Reported to OSHA for 2025: 49 employees, 1 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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