# LIV EMPLOYEE BENEFITS, LLC HEALTH AND WELFARE PLAN

Health and welfare plan sponsored by **LIV EMPLOYEE BENEFITS, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | LIV EMPLOYEE BENEFITS, LLC |
| EIN | 208618503 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | RAPID CITY, SD |
| Industry | Accommodation and Food Services |
| Funding | mixed |
| Total premiums | $251K |
| Participants | 226 |
| Persons covered | 370 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| DELTA DENTAL OF SOUTH DAKOTA | Dental |
| MUTUAL OF OMAHA INSURANCE COMPANY | Vision |
| COMPANION LIFE INSURANCE COMPANY | Life, Other |

## Brokers

| Broker | Placed with |
|---|---|
| HOLMES MURPHY & ASSOCIATES | DELTA DENTAL OF SOUTH DAKOTA |
| HOLMES MURPHY & ASSOCIATES | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| AVANT SPECIALTY BENEFITS LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| HOLMES MURPHY & ASSOCIATES | COMPANION LIFE INSURANCE COMPANY |
| DAKOTACARE ADMINISTRATIVE SERVICES | COMPANION LIFE INSURANCE COMPANY |
| SUMMIT REINSURANCE SERVICES INC | COMPANION LIFE INSURANCE COMPANY |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/208618503-501
- Cite as: PlanOptica, https://planoptica.com/welfare/208618503-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers