Form 5500 · Employee benefit plan · LARAMIE, WY
IVINSON MEMORIAL HOSPITAL
IVINSON MEMORIAL HOSPITAL of LARAMIE, WY is a 83-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is LINTON, KYLE R. Coverage is written through UNUM LIFE INSURANCE COMPANY OF AMERICA. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 30-0975387 · plan 505 · as of Aug 2026
Plan brief
The filing discloses a single insured line — life — through UNUM LIFE INSURANCE COMPANY OF AMERICA, covering 85 people.
Reported premium across the insured contracts is $41,975, with $6,825 in disclosed broker commissions — about 16% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
At 83 participants this is a small group; Form 5500 is required once a welfare plan reaches 100 participants, or when it is funded through insurance contracts.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 85 | December | $41,975 | $6,825 |
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