# MEMORIAL HEALTH CARE SYSTEM WRAP BENEFIT PLAN

Health and welfare plan sponsored by **MEMORIAL HEALTH CARE SYSTEMS**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | MEMORIAL HEALTH CARE SYSTEMS |
| EIN | 470375220 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | SEWARD, NE |
| Industry | hospital & health care |
| Funding | fully insured |
| Total premiums | $431K |
| Participants | 163 |
| Persons covered | 349 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| AMERITAS LIFE INSURANCE CORP. | Dental, Vision |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, STD, LTD, Other |
| TOKIO MARINE HCC | Health, Other |

## Brokers

| Broker | Placed with |
|---|---|
| USI INSURANCE SERVICES LLC | AMERITAS LIFE INSURANCE CORPORATION |
| USI INSURANCE SERVICES LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| EA LEGACY LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | HCC 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/470375220-503
- Cite as: PlanOptica, https://planoptica.com/welfare/470375220-503
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers