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Form 5500 · Employee benefit plan · PRINCETON, KY

CALDWELL MEDICAL CENTER

The filing calls this plan CALDWELL MEDICAL CENTER EMPLOYEE BENEFITS PLAN.

Public Form 5500 records show how CALDWELL MEDICAL CENTER of PRINCETON, KY, a health care and social assistance employer, structures its employee benefits. Its broker of record is HIGGINS INSURANCE INC.. Coverage is written through ANTHEM HEALTH PLANS OF KENTUCKY, INC. and 3 other carriers. 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 61-0432526 · plan 501 · plan year 2025, filed Apr 24, 2026

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How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
179
Active at start of year
178
Active at end of year
195
Disclosed commissions
$93,778
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — ANTHEM HEALTH PLANS OF KENTUCKY, INC.167 of 179 participants (93%) on the largest contract
Dentalinsured — DELTA DENTAL OF KENTUCKY311 of 179 participants
Visioninsured — ANTHEM HEALTH PLANS OF KENTUCKY, INC.167 of 179 participants (93%)
Lifeinsured — COLONIAL LIFE & ACCIDENT INSURANCE COMPANY124 of 179 participants (69%) on the largest contract
Disabilityinsured — AMERICAN UNITED LIFE INSURANCE COMPANY195 of 179 participants

Also declared: death benefits, other welfare.

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.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

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

Schedule A lists 4 insured contracts covering health, dental, vision, life and disability; the largest, with ANTHEM HEALTH PLANS OF KENTUCKY, INC., covers 167 people.

Reported premium across the insured contracts is $1,993,303, with $93,778 in disclosed broker commissions — about 4.7% 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.

HIGGINS INSURANCE INC. is the broker of record on all 4 contracts.

4 carriers appear on the filing, including ANTHEM HEALTH PLANS OF KENTUCKY, INC., COLONIAL LIFE & ACCIDENT INSURANCE COMPANY, AMERICAN UNITED LIFE INSURANCE COMPANY and DELTA DENTAL OF KENTUCKY. ANTHEM HEALTH PLANS OF KENTUCKY, INC. writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
ANTHEM HEALTH PLANS OF KENTUCKY, INC.Health, Vision167Jan 1, 2026$1,651,178$41,932
COLONIAL LIFE & ACCIDENT INSURANCE COMPANYHealth, Life124Jan 1, 2026$169,977$35,010
AMERICAN UNITED LIFE INSURANCE COMPANYLife, Disability195Jan 1, 2026$88,201$13,490
DELTA DENTAL OF KENTUCKYDental311Jan 1, 2026$83,947$3,346

Premium and claims on this contract

DELTA DENTAL OF KENTUCKY, contract 689930. For the contract year on this filing, the carrier reported $81,513 in premium earned and $58,180 in claims incurred. Dividing one by the other gives 71%.

  • DELTA DENTAL OF KENTUCKY, contract 689930 reported $20,627 in retention.

Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.

Only experience-rated contracts report these figures, so most filings leave them blank.

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
CALDWELL MEDICAL CENTER
EIN 61-0432526

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

Reported to OSHA

Reported to OSHA for 2025: 260 employees, 3 recordable cases, 9 days away from work.

EmployeesThe company's own average for the year
260
Hours worked
435,564
Recordable cases
3
Days away from work
9

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

How this plan compares

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