Form 5500 · Employee benefit plan · TOMAH, WI
TOMAH MEMORIAL HOSPITAL DBA TOMAH HEALTH
TOMAH MEMORIAL HOSPITAL DBA TOMAH HEALTH's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is EMPLOYER ADVANTAGE INSURANCE LLC. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 6 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-0799566 · plan 505 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 88 | December | $13,869 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 179 | December | $9,961 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 46 | December | $4,051 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 60 | December | $3,166 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 42 | December | $2,851 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 406 | December | $2,008 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 364 | December | $0 |
Questions
Who is TOMAH MEMORIAL HOSPITAL DBA TOMAH HEALTH's benefits broker?
Per its most recent Form 5500 Schedule A, TOMAH MEMORIAL HOSPITAL DBA TOMAH HEALTH's broker of record is EMPLOYER ADVANTAGE INSURANCE LLC.
What insurance carrier does TOMAH MEMORIAL HOSPITAL DBA TOMAH HEALTH use?
TOMAH MEMORIAL HOSPITAL DBA TOMAH HEALTH's benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 7 disclosed carriers.
When does TOMAH MEMORIAL HOSPITAL DBA TOMAH HEALTH's group plan renew?
The most recent Schedule A policy period for TOMAH MEMORIAL HOSPITAL DBA TOMAH HEALTH ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from TOMAH MEMORIAL HOSPITAL DBA TOMAH HEALTH's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.