# TRAVEL ACCIDENT PLAN

Health and welfare plan sponsored by **MARSHFIELD CLINIC HEALTH SYSTEM, INC.** (dba MARSHFIELD CLINIC, INC.). Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | MARSHFIELD CLINIC HEALTH SYSTEM, INC. |
| EIN | 461495343 |
| Plan number | 509 |
| Plan year | 2025 |
| Location | MARSHFIELD, WI |
| Industry | hospital & health care |
| Funding | fully insured |
| Total premiums | $173K |
| Participants | 0 |
| Persons covered | 0 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BERKLEY HATHAWAY SPECIALTY INSURANCE | Other |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Other |

## Brokers

| Broker | Placed with |
|---|---|
| WARNER PACIFIC INSURANCE SERVICES | BERKLEY LIFE AND HEALTH INSURANCE COMPANY |
| LOCKTON COMPANIES, LLC | BERKLEY LIFE AND HEALTH INSURANCE COMPANY |
| LOCKTON COMPANIES, LLC | PROVIDENT 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/461495343-509
- Cite as: PlanOptica, https://planoptica.com/welfare/461495343-509
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