Form 5500 · Employee benefit plan · PALMYRA, PA
LEBANON VALLEY BRETHREN HOME
Public Form 5500 records show how LEBANON VALLEY BRETHREN HOME (PALMYRA, PA) structures its employee benefits. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through LIFE INSURANCE COMPANY OF NORTH AMERICA- STD and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-7404857 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| LIFE INSURANCE COMPANY OF NORTH AMERICA- STD | — | 179 | December | $7,140 |
| UNITED CONCORDIA INSURANCE COMPANY | Dental | 199 | December | $2,323 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA- LIFE | Life | 179 | December | $2,274 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA- LTD | Disability | 14 | December | $1,290 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA- ADD | — | 179 | December | $303 |
| NATIONAL VISION ADMINISTRATORS, LLC | Vision | 191 | December | $277 |
| OPTUM HEALTH (UNIMERICA INSURANCE COMPANY) | Stop-loss | 144 | June | $0 |
| CRUM & FORSTER | Stop-loss | 155 | December | $0 |
Questions
Who is LEBANON VALLEY BRETHREN HOME's benefits broker?
Per its most recent Form 5500 Schedule A, LEBANON VALLEY BRETHREN HOME's broker of record is USI INSURANCE SERVICES LLC.
What insurance carrier does LEBANON VALLEY BRETHREN HOME use?
LEBANON VALLEY BRETHREN HOME's benefit plan is written through LIFE INSURANCE COMPANY OF NORTH AMERICA- STD, among 8 disclosed carriers.
When does LEBANON VALLEY BRETHREN HOME's group plan renew?
The most recent Schedule A policy period for LEBANON VALLEY BRETHREN HOME ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from LEBANON VALLEY BRETHREN HOME's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.