# LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS |
| EIN | 390817274 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | LAC DU FLAMBEAU, WI |
| Industry | Other Services |
| Funding | mixed |
| Total premiums | $600K |
| Participants | 511 |
| Persons covered | 585 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, STD, LTD, Other |
| TOKIO MARINE HCC | Other |

## Brokers

| Broker | Placed with |
|---|---|
| COTTINGHAM & BUTLER | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| SMITH, THOMAS, CHRISTOPHER | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| COTTINGHAM & BUTLER | HCC LIFE INSURANCE COMPANY |
| COTTINGHAM & BUTLER | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| SMITH, THOMAS, CHRISTOPHER | PROVIDENT LIFE AND ACCIDENT 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/390817274-501
- Cite as: PlanOptica, https://planoptica.com/welfare/390817274-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers