Form 5500 · Employee benefit plan · COLUMBIA, LA
CITIZENS MEDICAL CENTER
The filing calls this plan CITIZENS MEDICAL CENTER EMPLOYEE BENEFIT PLAN & TRUST.
CITIZENS MEDICAL CENTER of COLUMBIA, LA is a small health care and social assistance employer whose insured group plan is on public record in its Form 5500 filing. Coverage is written through PHOENIX EXCESS RISK and 4 other carriers. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 72-0862035 · plan 502 · plan year 2025, filed Feb 26, 2026
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How this plan is funded
Both, as reported
The filing reports both insurance premium and benefits paid from the plan's own money, and the two amounts do not line up.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
Also declared: 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 5 insured contracts covering health, dental, vision, life and stop-loss; the largest, with PHOENIX EXCESS RISK, covers 94 people.
The medical plan carries stop-loss coverage: the filing reports the plan paying its own health claims, with insured protection against large ones.
Reported premium across the insured contracts is $444,357, with $72,419 in disclosed broker commissions — about 16% of premium.
The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.
No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PHOENIX EXCESS RISK | Health, Dental, Vision, Stop-loss | 94 | Dec 1, 2025 | $374,196 | $56,852 |
| NEW YORK LIFE INSURANCE COMPANY | Life | 94 | Dec 1, 2025 | $40,482 | $8,098 |
| PPO PLUS | Health | 94 | Dec 1, 2025 | $14,569 | $4,022 |
| MEDICAL HELPLINE | — | 94 | Dec 1, 2025 | $6,607 | $2,298 |
| HEALTHCARE HIGHWAYS | Health | 94 | Dec 1, 2025 | $8,503 | $1,149 |
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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule I
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
How this plan compares
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