Form 5500 · Employee benefit plan · MUSKEGON, MI
HACKLEY COMMUNITY CARE CENTER, INC.
HACKLEY COMMUNITY CARE CENTER, INC. of MUSKEGON, MI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is ROXANNA DIETERLE. Coverage is written through PRIORITY HEALTH and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 38-3014011 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| PRIORITY HEALTH | Health | 489 | December | $75,179 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 291 | January | $13,738 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 174 | January | $9,863 |
| UNUM INSURANCE COMPANY | — | 71 | January | $6,092 |
| UNUM INSURANCE COMPANY | — | 58 | January | $5,152 |
| UNUM INSURANCE COMPANY | — | 116 | January | $4,257 |
| NATIONAL VISION ADMINISTRATORS, LLC | Vision | 484 | December | $2,441 |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | Dental | 562 | December | $0 |
Questions
Who is HACKLEY COMMUNITY CARE CENTER, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, HACKLEY COMMUNITY CARE CENTER, INC.'s broker of record is ROXANNA DIETERLE.
What insurance carrier does HACKLEY COMMUNITY CARE CENTER, INC. use?
HACKLEY COMMUNITY CARE CENTER, INC.'s benefit plan is written through PRIORITY HEALTH, among 8 disclosed carriers.
When does HACKLEY COMMUNITY CARE CENTER, INC.'s group plan renew?
The most recent Schedule A policy period for HACKLEY COMMUNITY CARE CENTER, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from HACKLEY COMMUNITY CARE CENTER, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.