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Form 5500 · Employee benefit plan · ONAWA, IA

BURGESS HEALTH CENTER

BURGESS HEALTH CENTER of ONAWA, IA is a 191-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is VHA MID AMERICA INSURANCE SERV. Coverage is written through SYMETRA LIFE INSURANCE COMPANY. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 42-0859940 · plan 502 · as of Aug 2026

Participants
191
Carriers on file
1
Disclosed commissions
$13,134
Renewal month
December

Plan brief

The filing discloses a single insured line — disability — through SYMETRA LIFE INSURANCE COMPANY, covering 192 people.

Reported premium across the insured contracts is $105,301, with $13,134 in disclosed broker commissions — about 12% 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
SYMETRA LIFE INSURANCE COMPANYDisability192December$105,301$13,134

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