Skilled nursing and residential care facilities in South Dakota
PlanOptica tracks 17 health and welfare plans sponsored by 9 skilled nursing and residential care facilities in South Dakota, covering 2,833 participants and $9.3M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 80 participants, and the most common size is under 100 participants (53% of plans). Fully insured coverage is the norm (82% of plans); only 18% are self-funded or mixed.
Wellmark Blue Cross and Blue Shield of South Dakota dominates premium with a 61% share, followed by Avera Health Plans, Inc at 17%. Marsh & McLennan Agency LLC is the broker of record on 10 plans, more than any other firm, ahead of Hub International Great Plains LLC (3). 94% of plans report broker compensation on Schedule A; the median brokered plan pays $3K a year, about 5.0% of premium. Sioux Falls, Rapid City and Aberdeen have the most plans.
Funding mix
- Fully insured14 · 82%
- Mixed2 · 12%
- Self-funded1 · 6%
Plan size (participants)
- Under 1009 · 53%
- 100 to 2496 · 35%
- 250 to 4991 · 6%
- 500 to 9990 · 0%
- 1,000 or more1 · 6%
Median plan: 80 participants. Median broker comp: 5.0% of premium across 16 brokered plans.
Top carriers, skilled nursing, South Dakota
- 1Wellmark Blue Cross and Blue Shield of South Dakota$5.7M4 plans · 61.4%
- 2Avera Health Plans, Inc$1.6M2 plans · 17.1%
- 3The Lincoln National Life Insurance Company$971K3 plans · 10.4%
- 4Delta Dental of South Dakota$497K6 plans · 5.3%
- 5Vision Service Plan$140K4 plans · 1.5%
- 6Principal Life Insurance Company$93K1 plans · 1.0%
- 7Aflac$93K2 plans · 1.0%
- 8Dearborn Life Insurance Company$84K2 plans · 0.9%
- 9Metropolitan Life Insurance Company$38K1 plans · 0.4%
- 10Standard Insurance Company$30K2 plans · 0.3%
Top brokers, skilled nursing, South Dakota
- 1Marsh & McLennan Agency LLC10 plans$96K comp · 62.5%
- 2Hub International Great Plains LLC3 plans$11K comp · 18.8%
- 3Jolynne M. Mack2 plans$87 comp · 12.5%
- 4Propel Insurance Agency, LLC1 plans$85K comp · 6.3%
- 5Alera Group, Inc1 plans$26K comp · 6.3%
- 6Mma1 plans$20K comp · 6.3%
- 7Gis Benefits Inc1 plans$18K comp · 6.3%
- 8Boon Chapman BNFT Admnstrs Inc1 plans$6K comp · 6.3%
- 9Brown & Brown Insurance Services in1 plans$4K comp · 6.3%
- 10Heather Rowe1 plans$4K comp · 6.3%
Largest skilled nursing and residential care facilities in South Dakota
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Primrose Retirement Communities, LLC Primrose Retirement Communities, LLC Health and Welfare Benefits PlanAll plans | Aberdeen | Mixed | 1,452 | $921K | The Lincoln National Life Insurance Company |
| Hme Companies, LLC Hme Companies, LLC Employee Benefit PlansAll plans | Brookings | Fully insured | 397 | $1.0M | Blue Cross of California |
| Madison Community Hospital Madison Community Hospital Health and Welfare Benefit PlanAll plans | Madison | Mixed | 192 | $226K | Principal Life Insurance Company |
| Rummel Memorial Home, Inc Dow Rummel Village Welfare Benefit PlanAll plans | Sioux Falls | Fully insured | 185 | $1.5M | Avera Health Plans, Inc |
| Lantis Enterprises, Inc Lantis Enterprises, Inc. Health & Welfare Benefits PlanAll plans | Spearfish | Fully insured | 156 | $1.2M | Blue Cross of California |
| Bethesda Home of Aberdeen Bethesda Home of Aberdeen Life Insurance PlanAll plans | Aberdeen | Fully insured | 135 | $3K | Dearborn Life Insurance Company |
| Fall River Health Services Fall River Health Services Employee Benefit PlanAll plans | Hot Springs | Fully insured | 120 | $3.0M | Blue Cross of California |
| Jenkins Living Center, Inc Jenkins Living Center, Inc Life PlanAll plans | Watertown | Fully insured | 116 | $17K | Standard Insurance Company |
| Presbyterian Retirement Village of Rapid City, Inc Presbyterian Retirement Village of Rapid City, Inc. Dental PlanAll plans | Rapid City | Fully insured | 0 | $87K | Delta Dental of California |
Showing 9 of 9 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in South Dakota
Frequently asked questions
How many skilled nursing and residential care facilities in South Dakota offer an ERISA health plan?
17 health and welfare plans from 9 skilled nursing and residential care facilities in South Dakota appear in plan year 2024 to 2025 filings on Form 5500, covering 2,833 participants. Plans with fewer than 100 participants that are fully insured do not have to file, so small practices are under-counted.
Which insurance carriers cover the most skilled nursing and residential care facilities in South Dakota?
By Schedule A premium: Wellmark Blue Cross and Blue Shield of South Dakota (61% of premium, 4 plans), Avera Health Plans, Inc (17% of premium, 2 plans) and The Lincoln National Life Insurance Company (10% of premium, 3 plans).
Which benefits brokers work with skilled nursing and residential care facilities in South Dakota?
By number of client plans: Marsh & McLennan Agency LLC (10 plans), Hub International Great Plains LLC (3 plans) and Jolynne M. Mack (2 plans). 94% of plans report a broker.
How much do brokers earn on skilled nursing and residential care facilities health plans in South Dakota?
The median brokered plan reports $3K a year in broker commissions and fees, or 5.0% of premium. Figures come from Schedule A, Part I.
Are skilled nursing and residential care facilities health plans in South Dakota self-funded or fully insured?
Fully insured 82%, mixed 12% and self-funded 6%. Self-funded and mixed plans together make up 18%.
Where does this data come from?
U.S. Department of Labor Form 5500 filings and their Schedule A insurance attachments, latest filing per plan. Nursing and residential care facilities (Form 5500 code 623000, which also covers assisted living), plus healthcare employers whose name says nursing or skilled care.
Prospect skilled nursing and residential care facilities in South Dakota
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Skilled nursing in nearby states
Other healthcare specialties in South Dakota
Source: U.S. Department of Labor Form 5500 and Schedule A, latest filing per plan (plan years 2024-2025). Nursing and residential care facilities (Form 5500 code 623000, which also covers assisted living), plus healthcare employers whose name says nursing or skilled care. Location is the sponsor's filing address in South Dakota.