form5500lookup

Form 5500 · Employee benefit plan · ROANOKE, VA

GOOD SAMARITAN HOSPICE, INC.

GOOD SAMARITAN HOSPICE, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and 1 other carrier. The plan's most recent policy period ended in June.

Benefits broker of record
Plan renews
June

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 54-1608259 · plan 501 · as of Jul 2026

Participants
120
Carriers on file
2
Disclosed commissions
$30,088
Renewal month
June

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICALife, Disability129June$28,772
AETNA LIFE INSURANCE COMPANYHealth, Dental, Vision157June$1,316

Questions

Who is GOOD SAMARITAN HOSPICE, INC.'s benefits broker?

Per its most recent Form 5500 Schedule A, GOOD SAMARITAN HOSPICE, INC.'s broker of record is USI INSURANCE SERVICES LLC.

What insurance carrier does GOOD SAMARITAN HOSPICE, INC. use?

GOOD SAMARITAN HOSPICE, INC.'s benefit plan is written through THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, among 2 disclosed carriers.

When does GOOD SAMARITAN HOSPICE, INC.'s group plan renew?

The most recent Schedule A policy period for GOOD SAMARITAN HOSPICE, INC. ended in June. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from GOOD SAMARITAN HOSPICE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.