Form 5500 · Employee benefit plan · MORRISVILLE, VT
COPLEY HOSPITAL, INC.
Public Form 5500 records show how COPLEY HOSPITAL, INC. of MORRISVILLE, VT, a health care and social assistance employer, structures its employee benefits. Its broker of record is RICHARDS INCORPORATED. Coverage is written through RELIANCE STANDARD LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 03-0179423 · plan 510 · as of Aug 2026
Plan brief
Schedule A lists 4 insured contracts covering vision, life and disability; the largest, with RELIANCE STANDARD LIFE INSURANCE COMPANY, covers 447 people.
Reported premium across the insured contracts is $491,879, with $24,831 in disclosed broker commissions — about 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.
RICHARDS INCORPORATED is the broker of record on 3 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing — RELIANCE STANDARD LIFE INSURANCE COMPANY, VISION SERVICE PLAN, RELIASTAR LIFE INSURANCE COMPANY and KGA — with RELIANCE STANDARD LIFE INSURANCE COMPANY writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life, Disability | 447 | December | $361,573 | $13,266 |
| VISION SERVICE PLAN | Vision | 228 | December | $64,067 | $6,413 |
| RELIASTAR LIFE INSURANCE COMPANY | — | 139 | December | $51,522 | $5,152 |
| KGA | — | 587 | December | $14,717 | $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.
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