Form 5500 · Employee benefit plan · BORGER, TX
GOLDEN PLAINS COMMUNITY HOSPITAL
The filing calls this plan GPCH, LLC HEALTH BENEFIT PLAN.
GOLDEN PLAINS COMMUNITY HOSPITAL of BORGER, TX is a 134-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is INSURICA. Coverage is written through COMPANION LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 26-0328929 · plan 501 · plan year 2025, filed Feb 11, 2026
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How this plan is funded
Fully insured as reported
The plan's own financial statement reports paying insurance carriers about what the insurance contracts report in premium.
Benefits declared on this filing
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.
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
All 2 insured contracts are health coverage, split across COMPANION LIFE INSURANCE COMPANY and UNITEDHEALTHCARE INSURANCE COMPANY.
Reported premium is $427,976; the filing discloses no broker commission on these contracts.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
INSURICA is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: COMPANION LIFE INSURANCE COMPANY and UNITEDHEALTHCARE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| COMPANION LIFE INSURANCE COMPANY | Health | 113 | Jan 1, 2026 | $413,521 | $0 |
| UNITEDHEALTHCARE INSURANCE COMPANY | — | 113 | Jan 1, 2026 | $14,455 | $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.
Administrator and service providers
The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
Other plans filed by this employer
How this plan compares
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