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Form 5500 · Employee benefit plan · VENTURA, CA

COMMUNITY MEMORIAL HEALTHCARE

The filing calls this plan CMH EMPLOYEE HEALTH BENEFIT PLAN TRUST.

COMMUNITY MEMORIAL HEALTHCARE of VENTURA, CA is a 2,602-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is LOCKTON COMPANIES, LLC. Coverage is written through EYEMED VISION CARE and 4 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-1683892 · plan 501 · plan year 2024, filed Oct 6, 2025

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

5,257 other employer plans in California have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Funding not settled by the filing

The filing does not report enough to settle how this plan pays for benefits.

All participants at the start of the year
2,602
Active at start of year
2,570
Active at end of year
2,850
Disclosed commissions
$212,968
Typical renewal
January 1

Benefits declared on this filing

Healthdeclared, no contract here says it covers this
Dentaldeclared, no contract here says it covers this
Visioninsured — EYEMED VISION CARE5,281 of 2,602 participants
Lifeinsured — LIFE INSURANCE COMPANY OF NORTH AMERICA3,372 of 2,602 participants on the largest contract
Disabilityinsured — LIFE INSURANCE COMPANY OF NORTH AMERICA2,670 of 2,602 participants on the largest contract

3 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.

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 8 insured contracts covering vision, life and disability; the largest, with EYEMED VISION CARE, covers 5,281 people.

The filing declares vision, life, disability, health and dental. Health and dental appear with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 3 contracts here that do not say what they cover.

Reported premium across the insured contracts is $2,494,837, with $212,968 in disclosed broker commissions — about 8.5% 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.

LOCKTON COMPANIES, LLC is the broker of record on 3 of the 8 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
LIFE INSURANCE COMPANY OF NORTH AMERICALife3,372Jan 1, 2025$552,906$61,108
UNUM LIFE INSURANCE COMPANY OF AMERICA—1,570Jan 1, 2025$343,536$55,267
UNUM LIFE INSURANCE COMPANY OF AMERICADisability450Jan 1, 2025$261,348$54,883
LIFE INSURANCE COMPANY OF NORTH AMERICADisability2,670Jan 1, 2025$446,409$24,625
EYEMED VISION CAREVision5,281Jan 1, 2025$636,530$7,578
LIFE INSURANCE COMPANY OF NORTH AMERICA—2,665Jan 1, 2025$46,163$5,085
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANYLife519Jan 1, 2025$147,533$4,422
EMPATHIA PACIFIC, INC.—2,951Jan 1, 2025$60,412$0

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
COMMUNITY MEMORIAL HEALTHCARE
EIN 95-1683892

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

Reported to OSHA

Reported to OSHA for 2025: 2,648 employees, 116 recordable cases, 2,718 days away from work.

EmployeesThe company's own average for the year
2,648
Hours worked
4,123,357
Recordable cases
116
Days away from work
2,718
Establishments filed under this EIN
2

Source: OSHA Injury Tracking Application establishment data, 2025.

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Renewal calendar

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