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Form 5500 · Employee benefit plan · SANDPOINT, ID

BOUNDARY REGIONAL COMMUNITY HEALTH CENTER

The filing calls this plan VISION PLAN.

BOUNDARY REGIONAL COMMUNITY HEALTH CENTER of SANDPOINT, ID files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is CHAD MURRAY. Coverage is written through UNITED HERITAGE LIFE INSURANCE COMPANY. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-3634356 · plan 503 · plan year 2025, filed Aug 11, 2026

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How this plan is funded

Funding not settled by the filing

The filing does not report enough to settle how this plan pays for benefits.

All participants at the start of the year
144
Active at start of year
144
Active at end of year
163
Disclosed commissions
$1,499
Typical renewal
January 1

Benefits declared on this filing

Healthdeclared under plan 501
Dentaldeclared under plan 502
Visioninsured — UNITED HERITAGE LIFE INSURANCE COMPANY163 of 144 participants
Lifedeclared under plan 504
Disabilitynot declared on this filing

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

The filing discloses a single insured line, vision, through UNITED HERITAGE LIFE INSURANCE COMPANY, covering 163 people.

Reported premium across the insured contracts is $14,990, with $1,499 in disclosed broker commissions — about 10% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
UNITED HERITAGE LIFE INSURANCE COMPANYVision163Jan 1, 2026$14,990$1,499

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER
EIN 04-3634356

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

How this plan compares

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