BenefitsLedger
Employer health plan record · Plan year 2024 · Form 5500

Black Hills Surgical Hospital, LLP

Healthcare & social assistance · Rapid City, South Dakota · EIN ending 0466

Updated Filing received by DOL

Black Hills Surgical Hospital, LLP, a healthcare & social assistance employer in Rapid City, South Dakota, reported 350 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 4 insurance contracts with no premium reported and $38,188 in broker commissions and fees. The plan is self-funded (the employer pays claims itself). The Department of Labor received the filing on April 3, 2025, before the deadline.

Participants
350
plan year 2024
Premiums filed
none
self-funded or not filed
Broker commissions + fees
$38,188
8 brokers
Commission rate
n/a
needs insured medical premium

Who was paid on Black Hills Surgical Hospital, LLP's plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Black Hills Surgical Hospital, LLP filed for 2024.

Broker or agentCommissionsFeesTotalContracts
HUB International · Sioux Falls, SD$32,833$0$32,8333
Janet H. Bohne · Rapid City, SD$2,574$145$2,7191
Kayla Ann Schad · Rapid City, SD$738$26$7641
Shawn D. Benser and Other Agents · Fargo, ND$674$0$6741
Amber Marie Lind · Rapid City, SD$529$26$5551
Guenot Enterprises Inc · Rapid City, SD$323$0$3231
Shivani Patel · Rapid City, SD$171$0$1711
Stephen C. Jones · Missoula, MT$149$0$1491

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2024, as published in EBSA's 2024 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.

Insurance contracts and carriers

Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.

Carrier · coverageCoveredPremiumBroker payRate
Delta Dental of South Dakotadental739—$4,585—
Aflaclife, indemnity36—$5,355—
Vision Service Planvision244—$1,762—
Life Insurance Company of North Americalife, short-term disability, long-term disability326—$26,486—

Source: DOL Form 5500 Schedule A, plan year 2024. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How Black Hills Surgical Hospital, LLP compares

Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.

Broker commissions + fees, dollars
Black Hills Surgical Hospital, LLP
$38,188
Commission rate, % of medical premium

Not computable: no insured medical premium on the filing.

Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.

Filings and timeliness

Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.

PlanPlan year endReceived by DOLTimingParticipants
Black Hills Surgical Hospital, LLP Employee Benefit Plans#505 · insurance, general assetsDecember 31, 2024April 3, 2025before deadline350

Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.

How much did Black Hills Surgical Hospital, LLP pay in health insurance broker commissions in 2024?

Black Hills Surgical Hospital, LLP's 2024 Form 5500 reports $38,188 in broker commissions and fees across 4 insurance contracts ($37,992 in commissions, $196 in fees), with HUB International receiving the largest share.

Is Black Hills Surgical Hospital, LLP's health plan self-funded or fully insured?

The 2024 filing indicates the plan is self-funded (the employer pays claims itself).

How does Black Hills Surgical Hospital, LLP's broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Black Hills Surgical Hospital, LLP because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 200-499 participants that disclosed broker pay reported a median of $77,013.

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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.