# POKAGON GAMING AUTHORITY D.B.A. FOUR WINDS CASINO RESORT HEALTH AND WELFARE PLAN

Health and welfare plan sponsored by **POKAGON GAMING AUTHORITY** (dba D.B.A. FOUR WINDS CASINO RESORT). Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | POKAGON GAMING AUTHORITY |
| EIN | 680629973 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | NEW BUFFALO, MI |
| Industry | Arts, Entertainment, and Recreation |
| Funding | mixed |
| Total premiums | $2.8M |
| Participants | 3,055 |
| Persons covered | 2,969 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, STD, LTD, Other |
| DELTA DENTAL OF MICHIGAN | Dental |
| UNITEDHEALTHCARE INSURANCE COMPANY | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| IMG | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| WILLIS TOWERS WATSON US LLC | DELTA DENTAL OF MICHIGAN |

## 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/680629973-501
- Cite as: PlanOptica, https://planoptica.com/welfare/680629973-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers