Form 5500 · Employee benefit plan · CLOQUET, MN
COMMUNITY MEMORIAL HOSPITAL ASSOCIATION
COMMUNITY MEMORIAL HOSPITAL ASSOCIATION's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is RELIABLE AGENCY INC. Coverage is written through DELTA DENTAL OF MINNESOTA and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 41-0743546 · plan 503 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| DELTA DENTAL OF MINNESOTA | Dental | 425 | December | $13,693 |
| COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | — | 78 | December | $9,016 |
| STANDARD INSURANCE COMPANY | Life, Disability | 372 | December | $6,337 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 253 | December | $1,567 |
| PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | — | 44 | December | $765 |
Questions
Who is COMMUNITY MEMORIAL HOSPITAL ASSOCIATION's benefits broker?
Per its most recent Form 5500 Schedule A, COMMUNITY MEMORIAL HOSPITAL ASSOCIATION's broker of record is RELIABLE AGENCY INC.
What insurance carrier does COMMUNITY MEMORIAL HOSPITAL ASSOCIATION use?
COMMUNITY MEMORIAL HOSPITAL ASSOCIATION's benefit plan is written through DELTA DENTAL OF MINNESOTA, among 5 disclosed carriers.
When does COMMUNITY MEMORIAL HOSPITAL ASSOCIATION's group plan renew?
The most recent Schedule A policy period for COMMUNITY MEMORIAL HOSPITAL ASSOCIATION ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from COMMUNITY MEMORIAL HOSPITAL ASSOCIATION's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.