# PREMIER HEALTH BENEFIT PLAN

Health and welfare plan sponsored by **PREMIER HEALTH**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | PREMIER HEALTH |
| EIN | 311446699 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | DAYTON, OH |
| Industry | hospital & health care |
| Funding | mixed |
| Total premiums | $10.9M |
| Participants | 11,751 |
| Persons covered | 17,366 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| LINCOLN FINANCIAL GROUP | Life, LTD, Other |
| VISION SERVICE PLAN (VSP) | Vision |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | Life, Other |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life |
| HM LIFE INSURANCE COMPANY | Stop-loss |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | Other |
| COMBINED INSURANCE COMPANY OF AMERICA | Life |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | Other |
| SUPERIOR DENTAL CARE | Dental |

## Brokers

| Broker | Placed with |
|---|---|
| USI INSURANCE SERVICES LLC | LINCOLN NATIONAL LIFE INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | LINCOLN NATIONAL LIFE INSURANCE COMPANY |
| JAMES DUNCAN DAVIDSON | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY |
| AON CONSULTING INC | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY |
| EOI SERVICE COMPANY INC | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| EOI SERVICE COMPANY INC | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| WENDELL W BECULHEIMER | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |
| KATHLEEN E MCCREARY | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |
| CAROL CLINTON SMITH MARITAL TRUST | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |
| THE LITTLE GROUP LLC | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |
| ITEM III TRUST U/W DAVID A SAVULA | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |
| SCOTT A BOYER | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |
| PML INC | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |
| SANDRA J EVANSEN | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |
| USI INSURANCE SERVICES LLC | COMBINED INSURANCE COMPANY |
| EOI SERVICE COMPANY INC | COMBINED INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | LIFE INSURANCE COMPANY OF NORTH AMERICA |

## 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/311446699-501
- Cite as: PlanOptica, https://planoptica.com/welfare/311446699-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers