# SIOUXLAND SURGERY CENTER, LP WRAP PLAN

Health and welfare plan sponsored by **SIOUXLAND SURGERY CENTER, LP**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | SIOUXLAND SURGERY CENTER, LP |
| EIN | 460423353 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | DAKOTA DUNES, SD |
| Industry | hospital & health care |
| Funding | mixed |
| Total premiums | $2.1M |
| Participants | 156 |
| Persons covered | 314 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| WELLMARK BC/BS OF SOUTH DAKOTA | Health |
| DELTA DENTAL OF SOUTH DAKOTA | Dental |
| KANSAS CITY LIFE INSURANCE COMPANY | Life, LTD, Other |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| IBC INSURANCE | WELLMARK OF SD INC. |
| ASHLEY MORAVEK | DELTA DENTAL OF SOUTH DAKOTA |
| STUART LEE | KANSAS CITY LIFE INSURANCE COMPANY |
| INNOVATIVE BENEFIT CONSULTANTS | FIDELITY SECURITY 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/460423353-501
- Cite as: PlanOptica, https://planoptica.com/welfare/460423353-501
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