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Form 5500 · Employee benefit plan · ARCATA, CA

MAD RIVER COMMUNITY HOSPITAL

MAD RIVER COMMUNITY HOSPITAL of ARCATA, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is VERUS INSURANCE SERVICES. Coverage is written through UNUM LIFE INSURANCE COMPANY OF AMERICA and 2 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-1698406 · plan 501 · as of Jul 2026

Participants
325
Carriers on file
3
Disclosed commissions
$295,350
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
UNUM LIFE INSURANCE COMPANY OF AMERICALife280December$233,867
NATIONWIDE LIFE INSURANCE COMPANYStop-loss257December$61,483
EYEMED VISION CAREVision529December$0

Questions

Who is MAD RIVER COMMUNITY HOSPITAL's benefits broker?

Per its most recent Form 5500 Schedule A, MAD RIVER COMMUNITY HOSPITAL's broker of record is VERUS INSURANCE SERVICES.

What insurance carrier does MAD RIVER COMMUNITY HOSPITAL use?

MAD RIVER COMMUNITY HOSPITAL's benefit plan is written through UNUM LIFE INSURANCE COMPANY OF AMERICA, among 3 disclosed carriers.

When does MAD RIVER COMMUNITY HOSPITAL's group plan renew?

The most recent Schedule A policy period for MAD RIVER COMMUNITY HOSPITAL ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from MAD RIVER COMMUNITY HOSPITAL's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.