# KOOTENAI CLINIC, LLC HEALTH AND WELFARE PLAN

Health and welfare plan sponsored by **KOOTENAI CLINICS, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | KOOTENAI CLINICS, LLC |
| EIN | 454069155 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | COEUR D ALENE, ID |
| Industry | hospital & health care |
| Funding | mixed |
| Total premiums | $7.2M |
| Participants | 4,134 |
| Persons covered | 4,587 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| UNITED HERITAGE LIFE INSURANCE COMPANY | Vision, Life, STD, LTD, Other |
| NORTHWEST DENTAL BENEFITS | Dental |
| WILLAMETTE DENTAL INSURANCE, INC. | Dental |
| ALLY HEALTH | Other |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Indemnity, Other |
| VITAL WORKLIFE | Other |

## Brokers

| Broker | Placed with |
|---|---|
| CHAD MURRAY | UNITED HERITAGE LIFE INSURANCE COMPANY |
| ACRISURE LLC | NORTHWEST DENTAL BENEFITS, LLC |
| ACRISURE LLC | WILLAMETTE DENTAL OF IDAHO, INC. |
| ACRISURE LLC | ALLY HEALTH LLC |
| ACRISURE LLC | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| WORKSITE BENEFITS GROUP INC | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| BENEFITS BY DESIGN INC | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| GABRIEL ANGEL CANALS | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| KACI LEE BISHOP | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| ROXANA BUSCHMAN | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| DAVID KINNEY | COLONIAL 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/454069155-501
- Cite as: PlanOptica, https://planoptica.com/welfare/454069155-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers