Blackhawk Mining, LLC
Overview
Blackhawk Mining, LLC sponsors a self-funded health plan that covered 6,152 participants in plan year 2025, about the same as the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 6,152 · prior year 6,152
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Blackhawk Mining Welfare Plan, plan 501 (6,152 participants)
- Stop-loss carrier
- Anthem Health Plans of Kentucky, Inc.
- Broker compensation
- $272K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Metropolitan Life Insurance Company | Life, Medical | 3,330 | $1.6M | $168K |
| Anthem Health Plans of Kentucky, Inc. | Medical, Vision, PPO, Stop-loss | 4,881 | $1.2M | — |
| Delta Dental of Kentucky | Dental | 5,295 | $987K | $24K |
| Metropolitan Life Insurance Companyp | Medical | 1,586 | $362K | $65K |
| MetLife Legal Plans | Legal | 364 | $95K | $15K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 6,152 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Blackhawk Mining, LLC
- Sponsor EIN
- 36-4948585
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 36-4948585 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Blackhawk Mining Retirement Savings Plan
- Type
- 401(k) plan
- Participants
- 2,529
About this data
Source: Blackhawk Mining, LLC's Form 5500 filing for plan year 2025 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with Blackhawk Mining, LLC.