# LAKE SURGICAL HOSPITAL SLIDELL, LLC DBA OUR LADY OF THE LAKE SURGICAL HOSPITAL EMPLOYEE BENEFITS PLAN

Health and welfare plan sponsored by **LAKE SURGICAL HOSPITAL SLIDELL, LLC** (dba OUR LADY OF THE LAKE SURGICAL HOSPITAL). Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | LAKE SURGICAL HOSPITAL SLIDELL, LLC |
| EIN | 474228147 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SLIDELL, LA |
| Industry | Health Care and Social Assistance |
| Funding | fully insured |
| Total premiums | $1.2M |
| Participants | 111 |
| Persons covered | 231 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BCBS OF LOUISIANA | Health, Dental |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life, Other, LTD, STD |
| UNITEDHEALTHCARE INSURANCE COMPANY | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| USI INSURANCE SERVICES LLC | BLUE CROSS AND BLUE SHIELD OF LOUISIANA |
| HUB INTERNATIONAL MIDWEST LIMITED | BLUE CROSS AND BLUE SHIELD OF LOUISIANA |
| USI INSURANCE SERVICES LLC | RELIANCE STANDARD LIFE INSURANCE COMPANY |
| OPTIBEN LLC | RELIANCE STANDARD LIFE INSURANCE COMPANY |
| TOTALIS CONSUMER BENEFIT SOLUTIONS | RELIANCE STANDARD LIFE INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | UNITEDHEALTHCARE 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/474228147-501
- Cite as: PlanOptica, https://planoptica.com/welfare/474228147-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers