# U.P. HEALTH PLAN GROUP BENEFIT PLAN

Health and welfare plan sponsored by **UPPER PENINSULA MANAGED CARE, LLC** (dba UPPER PENINSULA HEALTH GROUP). Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | UPPER PENINSULA MANAGED CARE, LLC |
| EIN | 383323620 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | MARQUETTE, MI |
| Industry | medical practice |
| Funding | fully insured |
| Total premiums | $2.6M |
| Participants | 186 |
| Persons covered | 320 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BCBS OF MICHIGAN | Health, Rx, PPO |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | STD, LTD, Life, Other |
| DELTA DENTAL OF MICHIGAN | Dental |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| UPPER PENINSULA MANAGED CARE, LLC | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| UPPER PENINSULA MANAGED CARE, LLC | DELTA DENTAL OF MICHIGAN |
| UPPER PENINSULA MANAGED CARE, LLC | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| UPPER PENINSULA MANAGED CARE, LLC | VISION SERVICE PLAN |

## 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/383323620-501
- Cite as: PlanOptica, https://planoptica.com/welfare/383323620-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers