Form 5500 · Employee benefit plan · QUINCY, IL
GOOD SAMARITAN HOME
GOOD SAMARITAN HOME's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is WINTERS INSURANCE GROUP. Coverage is written through BLUE CROSS AND BLUE SHIELD OF ILLINOIS and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 37-0724112 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF ILLINOIS | Health | 140 | December | $107,259 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental, Vision, Life, Disability | 236 | December | $16,969 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 69 | December | $2,511 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 139 | December | $2,511 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 60 | December | $1,796 |
Questions
Who is GOOD SAMARITAN HOME's benefits broker?
Per its most recent Form 5500 Schedule A, GOOD SAMARITAN HOME's broker of record is WINTERS INSURANCE GROUP.
What insurance carrier does GOOD SAMARITAN HOME use?
GOOD SAMARITAN HOME's benefit plan is written through BLUE CROSS AND BLUE SHIELD OF ILLINOIS, among 5 disclosed carriers.
When does GOOD SAMARITAN HOME's group plan renew?
The most recent Schedule A policy period for GOOD SAMARITAN HOME ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from GOOD SAMARITAN HOME's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.