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Form 5500 · Employee benefit plan · GLOUSTER, OH

HOCKING ATHENS PERRY COMMUNITY ACTION AGENCY, INC.

The filing calls this plan HOCKING ATHENS PERRY COMMUNITY ACTION AGENCY, INC. WELFARE BENEFIT PLAN.

HOCKING ATHENS PERRY COMMUNITY ACTION AGENCY, INC. of GLOUSTER, OH is a 186-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is SNIDER, FULLER AND ASSOCIATES. Coverage is written through NATIONWIDE LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in March.

Benefits broker of record
Policy year ends
Marchas filed for plan year 2026

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 31-0718322 · plan 501 · plan year 2026, filed Sep 20, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
186
Active at start of year
186
Active at end of year
135
Disclosed commissions
$363,817
Typical renewal
April 1

Benefits declared on this filing

Healthinsured — NATIONWIDE LIFE INSURANCE COMPANY170 of 186 participants (91%)
Dentalinsured — NATIONWIDE LIFE INSURANCE COMPANY170 of 186 participants (91%)
Visioninsured — VISION SERVICE PLAN176 of 186 participants (95%)
Lifeinsured — UNUM LIFE INSURANCE COMPANY OF AMERICA181 of 186 participants (97%)
Disabilityinsured — UNUM LIFE INSURANCE COMPANY OF AMERICA181 of 186 participants (97%)

Also declared: death benefits, other welfare.

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

Schedule A lists 3 insured contracts covering health, dental, vision, life, disability and stop-loss; the largest, with NATIONWIDE LIFE INSURANCE COMPANY, covers 170 people.

The filing lists a stop-loss contract. On its own that does not settle whether the plan pays its own claims.

Reported premium across the insured contracts is $951,752, with $363,817 in disclosed broker commissions — about 38% of premium.

The health contract's policy period ended in March, while at least one ancillary line's policy period ended in April. The plan is on a split renewal cycle.

SNIDER, FULLER AND ASSOCIATES is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
NATIONWIDE LIFE INSURANCE COMPANYHealth, Dental, Stop-loss170Apr 1, 2026$877,455$357,678
UNUM LIFE INSURANCE COMPANY OF AMERICALife, Disability181May 1, 2025$44,290$4,732
VISION SERVICE PLANVision176Apr 1, 2026$30,007$1,407

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
HOCKING ATHENS PERRY COMMUNITY ACTION AGENCY, INC.
EIN 31-0718322

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 266 employees, 7 recordable cases, 212 days away from work.

EmployeesThe company's own average for the year
266
Hours worked
379,791
Recordable cases
7
Days away from work
212

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

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