Form 5500 · Employee benefit plan · GRANTS, NM
CIBOLA GENERAL HOSPITAL CORP
CIBOLA GENERAL HOSPITAL CORP of GRANTS, NM files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through HARTFORD LIFE AND ACCIDENT and 3 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 85-0141285 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| HARTFORD LIFE AND ACCIDENT | Disability | 78 | June | $16,990 |
| DEARBORN LIFE INSURANCE COMPANY | Life | 237 | June | $7,529 |
| BLUECROSS BLUESHIELD OF NEW MEXICO | Dental | 417 | June | $6,532 |
| AMERITAS LIFE INSURANCE CORPORATION | Vision | 510 | June | $2,436 |
Questions
Who is CIBOLA GENERAL HOSPITAL CORP's benefits broker?
Per its most recent Form 5500 Schedule A, CIBOLA GENERAL HOSPITAL CORP's broker of record is USI INSURANCE SERVICES LLC.
What insurance carrier does CIBOLA GENERAL HOSPITAL CORP use?
CIBOLA GENERAL HOSPITAL CORP's benefit plan is written through HARTFORD LIFE AND ACCIDENT, among 4 disclosed carriers.
When does CIBOLA GENERAL HOSPITAL CORP's group plan renew?
The most recent Schedule A policy period for CIBOLA GENERAL HOSPITAL CORP ended in June. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from CIBOLA GENERAL HOSPITAL CORP's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.