# GROUP LIFE INSURANCE PLAN FOR EMPLOYEES OF BELOIT MEMORIAL HOSPITAL, INC.

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 | 503 |
| Plan year | 2025 |
| Location | BELOIT, WI |
| Industry | hospital & health care |
| Funding | fully insured |
| Total premiums | $246K |
| Participants | 1,123 |
| Persons covered | 1,123 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| LINCOLN FINANCIAL GROUP | Life, Other |
| SUN LIFE FINANCIAL | STD, LTD, Indemnity |

## Brokers

| Broker | Placed with |
|---|---|
| LOCKTON COMPANIES, LLC | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY |
| TRICOR INSURANCE | SUN LIFE ASSURANCE COMPANY OF CANADA |
| ARCHON LLC | SUN LIFE ASSURANCE COMPANY OF CANADA |

## 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/391028081-503
- Cite as: PlanOptica, https://planoptica.com/welfare/391028081-503
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