Form 5500 · Employee benefit plan · HOOD RIVER, OR
LA CLINICA DEL CARINA FAMILY HEALTH CARE CENTER
The filing calls this plan ONE COMMUNITY HEALTH WELFARE BENEFIT PLAN.
LA CLINICA DEL CARINA FAMILY HEALTH CARE CENTER of HOOD RIVER, OR insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is HUB INTERNATIONAL NORTHWEST LLC. Coverage is written through UNITEDHEALTHCARE 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 93-0910794 · plan 502 · plan year 2025, filed May 29, 2026
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744 other employer plans in Oregon have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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.
Benefits declared on this filing
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 5 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 280 people.
Reported premium across the insured contracts is $4,742,676, with $29,439 in disclosed broker commissions — about 0.6% 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.
HUB INTERNATIONAL NORTHWEST LLC is the broker of record on 2 of the 5 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including UNITEDHEALTHCARE INSURANCE COMPANY, OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON, UNUM LIFE INSURANCE COMPANY OF AMERICA and UNUM INSURANCE COMPANY. UNITEDHEALTHCARE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | Dental | 580 | Jan 1, 2026 | $244,607 | $12,236 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 338 | Jan 1, 2026 | $111,253 | $9,604 |
| UNUM INSURANCE COMPANY | — | 106 | Jan 1, 2026 | $35,827 | $4,947 |
| METROPOLITAN LIFE INSURANCE COMPANY | Vision | 759 | Jan 1, 2026 | $29,512 | $2,652 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 280 | Jan 1, 2026 | $4,321,477 | $0 |
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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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