# BLACK HILLS SURGICAL HOSPITAL, LLP EMPLOYEE BENEFIT PLANS

Health and welfare plan sponsored by **BLACK HILLS SURGICAL HOSPITAL, LLP**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | BLACK HILLS SURGICAL HOSPITAL, LLP |
| EIN | 460440466 |
| Plan number | 505 |
| Plan year | 2025 |
| Location | RAPID CITY, SD |
| Industry | Health Care and Social Assistance |
| Funding | mixed |
| Total premiums | $70K |
| Participants | 0 |
| Persons covered | 29 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | Life, STD, LTD, Other |
| AFLAC | Life, Indemnity, Other |

## Brokers

| Broker | Placed with |
|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| JANET H BOHNE | AFLAC |
| KAYLA ANN SCHAD | AFLAC |
| CAROL A BENDER | AFLAC |
| AMBER MARIE LIND | AFLAC |
| SHIVANI PATEL | AFLAC |
| GUENOT ENTERPRISES INC | AFLAC |
| STEPHEN C JONES | AFLAC |

## 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/460440466-505
- Cite as: PlanOptica, https://planoptica.com/welfare/460440466-505
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers