Match-E-Be-Nash-She-Wish Band of the Pottawatomi Indians
Overview
Match-E-Be-Nash-She-Wish Band of the Pottawatomi Indians sponsors a self-funded health plan that covered 1,142 participants in plan year 2025, up 2% from 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
- 1,142 · prior year 1,118
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- GUN Lake Casino Employee Benefits Plan, plan 501 (1,142 participants)
- Broker compensation
- $63K 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 |
|---|---|---|---|---|
| Delta Dental of Michigan | Dental | 2,250 | $814K | $777 |
| Unum Life Insurance Company of America | Life, Short-term disability, Long-term disability | 1,142 | $747K | $21K |
| Vision Service Plan | Vision | 1,811 | $228K | — |
| Unum Insurance Company | Accident, Critical Illness, Hospital | 220 | $95K | $36K |
| Pre-Paid Legal Services Inc. DBA Legalshield | Legal | 107 | $30K | $5K |
| Enroll123 | Telehealth | 177 | — | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,142 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
- Match-E-Be-Nash-She-Wish Band of the Pottawatomi Indians
- Sponsor EIN
- 80-0582592
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 80-0582592 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- The GUN Lake Tribal Gaming Authority 401(k) Retirement Plan
- Type
- 401(k) plan
- Participants
- 1,415
About this data
Source: Match-E-Be-Nash-She-Wish Band of the Pottawatomi Indians'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 Match-E-Be-Nash-She-Wish Band of the Pottawatomi Indians.