Fond Du LAC Reservation Business Committee
Overview
Fond Du LAC Reservation Business Committee sponsors a self-funded health plan that covered 1,555 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, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 1,555 · prior year 1,546
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Fond Du LAC Band of Lake Superior Chippewa Employee Health & Welfare Benefit Plan, plan 501 (1,555 participants)
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Life Insurance Company of North America | Life, Accidental Death & Dismemberment, Long-term disability, Short-term disability | 1,555 | $702K | — |
| HCC Life Insurance Company | Organ Transplant | 1,236 | $213K | — |
| Cigna Health and Life Insurance Company | Accidental Injury, Critical Illness | 374 | $79K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,555 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
- Fond Du LAC Reservation Business Committee
- Sponsor EIN
- 41-0965719
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 41-0965719 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Fond Du LAC Employee Retirement Plan
- Type
- 401(k) plan
- Participants
- 2,432
About this data
Source: Fond Du LAC Reservation Business Committee'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 Fond Du LAC Reservation Business Committee.