Form 5500 · Employee benefit plan · BEND, OR
BEND MEMORIAL CLINIC, PC
Public Form 5500 records show how BEND MEMORIAL CLINIC, PC (BEND, OR) structures its employee benefits. Its broker of record is FIDELITY HEALTH INSURANCE SERVICES. Coverage is written through PROVIDENCE HEALTH PLAN and 6 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 68-0637976 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| PROVIDENCE HEALTH PLAN | Health | 388 | December | $134,118 |
| PACIFICSOURCE HEALTH PLANS | Health, Dental | 383 | December | $9,659 |
| VISION SERVICE PLAN | Vision | 109 | December | $1,042 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, Disability | 199 | December | $33 |
| METLIFE | — | 36 | December | $0 |
| METLIFE | — | 27 | December | $0 |
| METLIFE | — | 22 | December | $0 |
Questions
Who is BEND MEMORIAL CLINIC, PC's benefits broker?
Per its most recent Form 5500 Schedule A, BEND MEMORIAL CLINIC, PC's broker of record is FIDELITY HEALTH INSURANCE SERVICES.
What insurance carrier does BEND MEMORIAL CLINIC, PC use?
BEND MEMORIAL CLINIC, PC's benefit plan is written through PROVIDENCE HEALTH PLAN, among 7 disclosed carriers.
When does BEND MEMORIAL CLINIC, PC's group plan renew?
The most recent Schedule A policy period for BEND MEMORIAL CLINIC, PC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from BEND MEMORIAL CLINIC, PC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.