Form 5500 · Employee benefit plan · UKIAH, CA
MENDOCINO COMMUNITY HEALTH CLINIC, INC.
MENDOCINO COMMUNITY HEALTH CLINIC, INC. of UKIAH, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is INTERWEST INSURANCE SERVICES, LLC. Coverage is written through UNUM LIFE INSURANCE COMPANY OF AMERICA and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 68-0259045 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 311 | December | $26,077 |
| UNUM INSURANCE COMPANY | — | 91 | December | $10,657 |
Questions
Who is MENDOCINO COMMUNITY HEALTH CLINIC, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, MENDOCINO COMMUNITY HEALTH CLINIC, INC.'s broker of record is INTERWEST INSURANCE SERVICES, LLC.
What insurance carrier does MENDOCINO COMMUNITY HEALTH CLINIC, INC. use?
MENDOCINO COMMUNITY HEALTH CLINIC, INC.'s benefit plan is written through UNUM LIFE INSURANCE COMPANY OF AMERICA, among 2 disclosed carriers.
When does MENDOCINO COMMUNITY HEALTH CLINIC, INC.'s group plan renew?
The most recent Schedule A policy period for MENDOCINO COMMUNITY HEALTH CLINIC, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from MENDOCINO COMMUNITY HEALTH CLINIC, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.