Form 5500 · Employee benefit plan · PLACERVILLE, CA
MARSHALL MEDICAL CENTER
The filing calls this plan MARSHALL MEDICAL CENTER HEALTH & WELFARE PLAN.
MARSHALL MEDICAL CENTER of PLACERVILLE, CA spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is HUB INTERNATIONAL INS SVCS INC. Coverage is written through STANDARD INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-1450151 · plan 507 · plan year 2025, filed Jul 30, 2026
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5,257 other employer plans in California 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
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
3 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
Also declared: 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 6 insured contracts covering vision, life and disability; the largest, with STANDARD INSURANCE COMPANY, covers 1,255 people.
The filing declares vision, life, disability, health and dental. Health and dental appear with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 3 contracts here that do not say what they cover.
Reported premium across the insured contracts is $1,468,571, with $145,574 in disclosed broker commissions — about 9.9% 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 INS SVCS INC is the broker of record on 3 of the 6 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| STANDARD INSURANCE COMPANY | — | 485 | Jan 1, 2026 | $302,854 | $42,598 |
| MARSHALL AIR SERVICES ASSOCIATION | — | 1,052 | Jan 1, 2026 | $210,430 | $42,084 |
| STANDARD INSURANCE COMPANY | Life | 1,255 | Jan 1, 2026 | $386,502 | $32,618 |
| STANDARD INSURANCE COMPANY | Disability | 1,255 | Jan 1, 2026 | $315,162 | $28,274 |
| VISION SERVICE PLAN | Vision | 1,079 | Jan 1, 2026 | $193,899 | $0 |
| HOLMAN PROFESSIONAL COUNSELING CENTERS | — | 1,579 | Jan 1, 2026 | $59,724 | $0 |
Premium and claims on these contracts
STANDARD INSURANCE COMPANY, contract 762814. For the contract year on this filing, the carrier reported $386,502 in premium earned and $461,495 in claims incurred. Dividing one by the other gives 119%.
STANDARD INSURANCE COMPANY, contract 762814. For the contract year on this filing, the carrier reported $315,162 in premium earned and $448,560 in claims incurred. Dividing one by the other gives 142%.
- STANDARD INSURANCE COMPANY, contract 762814 reported $199,629 in retention.
- STANDARD INSURANCE COMPANY, contract 762814 reported $179,219 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Other plans filed by this employer
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