# GO PHYSICAL THERAPY HEALTH AND WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **GO PHYSICAL THERAPY, LLC** (dba GRAND ISLAND PHYSICAL THERAPY). Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | GO PHYSICAL THERAPY, LLC |
| EIN | 810653461 |
| Plan number | 504 |
| Plan year | 2025 |
| Location | GRAND ISLAND, NE |
| Industry | medical practice |
| Funding | mixed |
| Total premiums | $353K |
| Participants | 355 |
| Persons covered | 353 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| STANDARD INSURANCE COMPANY | Dental, Life, LTD, Other |
| VISION SERVICE PLAN (VSP) | Vision |
| KANSAS CITY LIFE INSURANCE COMPANY | STD |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | Other |

## Brokers

| Broker | Placed with |
|---|---|
| GALLAGHER BENEFIT SERVICES, INC. | STANDARD INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | VISION SERVICE PLAN |
| GALLAGHER BENEFIT SERVICES, INC. | KANSAS CITY LIFE INSURANCE COMPANY |
| NORTH AMERICAN BENEFITS COMPANY | KANSAS CITY LIFE INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| WORKPLACE BENEFITS CONSULTANTS | AMERICAN HERITAGE 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/810653461-504
- Cite as: PlanOptica, https://planoptica.com/welfare/810653461-504
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers