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Form 5500 · Employee benefit plan · HAMLIN, WV

LINCOLN COUNTY PRIMARY CARE CENTER INC.

The filing calls this plan LINCOLN COUNTY PRIMARY CARE CENTER INC. EMPLOYEE BENEFITS PLAN.

LINCOLN COUNTY PRIMARY CARE CENTER INC. of HAMLIN, WV files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HILB GROUP OF WEST VIRGINIA. Coverage is written through NATIONWIDE LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in June.

Benefits broker of record
Policy year ends
Juneas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 55-0552212 · plan 502 · plan year 2025, filed Apr 1, 2026

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How this plan is funded

Self-funded as reported

The filing reports a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.

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
217
Active at start of year
217
Active at end of year
245
Disclosed commissions
$58,351
Typical renewal
July 1

Benefits declared on this filing

Healthdeclared, not on Schedule A
Dentalinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA333 of 217 participants
Visioninsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA333 of 217 participants
Lifeinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA333 of 217 participants
Disabilityinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA333 of 217 participants

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 2 insured contracts covering dental, vision, life, disability and stop-loss; the largest, with NATIONWIDE LIFE INSURANCE COMPANY, covers 324 people.

The filing declares dental, vision, life, disability and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.

The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $850,135 in premium and $0 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.

Reported premium across the insured contracts is $1,209,119, with $58,351 in disclosed broker commissions — about 4.8% of premium.

The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICADental, Vision, Life, Disability333Jul 1, 2025$358,984$58,351
NATIONWIDE LIFE INSURANCE COMPANYStop-loss324Jul 1, 2025$850,135$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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
LINCOLN COUNTY PRIMARY CARE CENTER INC.
EIN 55-0552212
BENEFIT ASSISTANCE COMPANY
Claims processing · Contract administrator · EIN 55-0715869
$116,850
paid directly by the plan
HILB GROUP OF WEST VIRGINIA
BROKER · EIN 38-3942599
$100,509
paid directly by the plan
CIGNA
Claims processing · Contract administrator · EIN 59-1031071
$35,421
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Other plans filed by this employer

How this plan compares

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