# BELOIT MEMORIAL HOSPITAL, INC. EMPLOYEE MEDICAL CARE PLAN

Health and welfare plan sponsored by **BELOIT HEALTH SYSTEM, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | BELOIT HEALTH SYSTEM, INC. |
| EIN | 391028081 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | BELOIT, WI |
| Industry | hospital & health care |
| Funding | self funded |
| Total premiums | $1.3M |
| Participants | 775 |
| Persons covered | 775 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| QBE INSURANCE | Stop-loss |

## Brokers

| Broker | Placed with |
|---|---|
| PRAIRIE STATES ENTERPRISES, INC. | QBE INSURANCE |

## 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/391028081-501
- Cite as: PlanOptica, https://planoptica.com/welfare/391028081-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers