# GRINNELL MUTUAL REINSURANCE COMPANY, SI WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **GRINNELL MUTUAL REINSURANCE COMPANY, SI**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | GRINNELL MUTUAL REINSURANCE COMPANY, SI |
| EIN | 420245990 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | GRINNELL, IA |
| Industry | insurance |
| Funding | mixed |
| Total premiums | $11.3M |
| Participants | 675 |
| Persons covered | 714 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| WELLMARK BC/BS OF SOUTH DAKOTA | Health, PPO |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, LTD, Other |
| VISION SERVICE PLAN (VSP) | Vision, Indemnity |
| DELTA DENTAL OF IOWA | Dental, PPO |

## Brokers

| Broker | Placed with |
|---|---|
| HOLMES MURPHY & ASSOCIATES | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| AVANT SPECIALTY BENEFITS LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| FMLASOURCE INC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| HOLMES MURPHY & ASSOCIATES | VISION SERVICE PLAN |
| MUTUAL OF OMAHA | UNITED OF OMAHA LIFE 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/420245990-501
- Cite as: PlanOptica, https://planoptica.com/welfare/420245990-501
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