Form 5500 · Employee benefit plan · MORGANTOWN, WV
MONONGALIA HEALTH SYSTEM INC
MONONGALIA HEALTH SYSTEM INC of MORGANTOWN, WV insures dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through LIFE INSURANCE COMPANY OF NORTH AMERICA and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 55-0621551 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 3 insured contracts covering dental, vision, life and disability; the largest, with LIFE INSURANCE COMPANY OF NORTH AMERICA, covers 706 people.
Reported premium across the insured contracts is $803,048, with $27,609 in disclosed broker commissions — about 3.4% 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.
USI INSURANCE SERVICES LLC is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing — LIFE INSURANCE COMPANY OF NORTH AMERICA, VISION SERVICE PLAN and UNITED CONCORDIA INSURANCE COMPANY — with LIFE INSURANCE COMPANY OF NORTH AMERICA writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life, Disability | 706 | December | $655,077 | $27,609 |
| UNITED CONCORDIA INSURANCE COMPANY | Dental | 706 | December | — | $0 |
| VISION SERVICE PLAN | Vision | 1,659 | December | $147,971 | $0 |
More employer plans in West Virginia — largest plans, brokers, carriers and renewal months.