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Sponsor portfolioWelfare / HealthEIN 39-0799566

TOMAH MEMORIAL HOSPITAL DBA TOMAH HEALTH

501 GOPHER DRIVE · TOMAH, WI 54660
6083722181
Plans filed
3
Years active
2015–2025
Industry
NAICS 62
Latest filing
2025
Total premiums (latest)
$1.1M
No prior year
Persons covered
688
No prior year
Total participants
409
No prior year
Plans filed
3
No prior year

Plans under this sponsor

3 plans
Plan #506$565K
HEALTH BENEFITS FOR EMPLOYEES OF TOMAH MEMORIAL HOSPITAL
Fully insured282 covered·4 carriers
Primary: DELTA DENTAL OF WISCONSIN
Plan #505$548K
TOMAH HEALTH & WELFARE PLAN
Fully insured406 covered·1 carrier
Primary: UNITED OF OMAHA LIFE INSURANCE COMPANY
Plan #509$0
TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN
Self-funded0 covered·0 carriers

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Short-term disability$345K30.4%
Dental$285K25.2%
Health$248K21.9%
Other$106K9.3%
Long-term disability$98K8.6%
Vision$32K2.8%
Life$20K1.8%

Carrier overview

5 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
UNITED OF OMAHA LIFE INSURANCE COMPANY
EIN 470322111
LSTDLTDOth
$548K49.3%17406
DELTA DENTAL OF CALIFORNIA
EIN 396094742
D
$285K25.6%11274
BERKLEY LIFE AND HEALTH INSURANCE COMPANY
EIN 916034263
H
$248K22.3%11282
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY
EIN 203212328
V
$32K2.9%11183
BLUE CROSS OF CALIFORNIA
EIN 391462554
$00.0%11268

Broker overview

2 brokers · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
EMPLOYER ADVANTAGE INSURANCE LLCSAKT LAKE CITY, UTUNITED OF OMAHA LIFE INSURANCE COMPANY$36K$0$36K69.4%1
ASSUREDPARTNERSWEST DES MOINES, IADELTA DENTAL OF WISCONSIN, WYSSTA INSURANCE COMPANY INC$16K$0$16K30.6%1

History & trajectory

11 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.

Policy details

Latest year, by plan
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