Form 5500 · Employee benefit plan · BOLIVAR, MO
CITIZENS MEMORIAL HEALTH CARE FOUNDATION
CITIZENS MEMORIAL HEALTH CARE FOUNDATION of BOLIVAR, MO files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is EMPLOYEE BENEFIT DESIGN LLC. Coverage is written through RELIANCE STANDARD LIFE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 43-1425356 · plan 503 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 592 | December | $19,681 |
| GUARDIAN | Dental | 429 | December | $17,727 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 137 | December | $8,415 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 350 | December | $6,720 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 52 | December | $4,652 |
Questions
Who is CITIZENS MEMORIAL HEALTH CARE FOUNDATION's benefits broker?
Per its most recent Form 5500 Schedule A, CITIZENS MEMORIAL HEALTH CARE FOUNDATION's broker of record is EMPLOYEE BENEFIT DESIGN LLC.
What insurance carrier does CITIZENS MEMORIAL HEALTH CARE FOUNDATION use?
CITIZENS MEMORIAL HEALTH CARE FOUNDATION's benefit plan is written through RELIANCE STANDARD LIFE INSURANCE COMPANY, among 5 disclosed carriers.
When does CITIZENS MEMORIAL HEALTH CARE FOUNDATION's group plan renew?
The most recent Schedule A policy period for CITIZENS MEMORIAL HEALTH CARE FOUNDATION ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from CITIZENS MEMORIAL HEALTH CARE FOUNDATION's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.