Form 5500 · Employee benefit plan · ROCKVILLE, MD
MONTGOMERY HOSPICE, INC.
MONTGOMERY HOSPICE, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is GALLAGHER BENEFIT SERVICES. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 52-1114719 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. | Health | 251 | December | $85,661 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 221 | December | $9,363 |
| DOMINION NATIONAL | Dental | 157 | December | $9,206 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 163 | December | $6,091 |
| CONTINENTAL AMERICAN INSURANCE COMPANY | — | 180 | December | $3,709 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 255 | December | $2,590 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Life | 180 | December | $667 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 1 | December | $3 |
Questions
Who is MONTGOMERY HOSPICE, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, MONTGOMERY HOSPICE, INC.'s broker of record is GALLAGHER BENEFIT SERVICES.
What insurance carrier does MONTGOMERY HOSPICE, INC. use?
MONTGOMERY HOSPICE, INC.'s benefit plan is written through KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC., among 8 disclosed carriers.
When does MONTGOMERY HOSPICE, INC.'s group plan renew?
The most recent Schedule A policy period for MONTGOMERY HOSPICE, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from MONTGOMERY HOSPICE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.