Form 5500 · Employee benefit plan · GOSHEN, IN
GOSHEN HEALTH SYSTEM, INC.
GOSHEN HEALTH SYSTEM, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is CUSTOM BENEFIT PROGRAMS, INC.. Coverage is written through PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 35-6001540 · plan 503 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | Life | 245 | December | $11,339 |
| VISION SERVICE PLAN | Vision | 1,144 | December | $3,449 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 6 | December | $113 |
| ALLONE HEALTH EAP, LLC | — | 1,656 | December | $0 |
| LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life, Disability | 1,644 | December | $0 |
Questions
Who is GOSHEN HEALTH SYSTEM, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, GOSHEN HEALTH SYSTEM, INC.'s broker of record is CUSTOM BENEFIT PROGRAMS, INC..
What insurance carrier does GOSHEN HEALTH SYSTEM, INC. use?
GOSHEN HEALTH SYSTEM, INC.'s benefit plan is written through PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY, among 5 disclosed carriers.
When does GOSHEN HEALTH SYSTEM, INC.'s group plan renew?
The most recent Schedule A policy period for GOSHEN HEALTH SYSTEM, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from GOSHEN HEALTH SYSTEM, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.