form5500lookup

Form 5500 · Employee benefit plan · HAVRE, MT

NORTHERN MONTANA HOSPITAL

Public Form 5500 records show how NORTHERN MONTANA HOSPITAL (HAVRE, MT) structures its employee benefits. Its broker of record is HUB INT'L MOUNTAIN STATES LIMITED. Coverage is written through HEALTH CARE SERVICE CORPORATION 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 81-0231787 · plan 503 · as of Jul 2026

Participants
408
Carriers on file
3
Disclosed commissions
$53,528
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
HEALTH CARE SERVICE CORPORATIONHealth355December$30,000
DELTA DENTAL INSURANCE COMPANYDental410December$13,615
UNUM LIFE INSURANCE COMPANY OF AMERICALife428December$9,913

Questions

Who is NORTHERN MONTANA HOSPITAL's benefits broker?

Per its most recent Form 5500 Schedule A, NORTHERN MONTANA HOSPITAL's broker of record is HUB INT'L MOUNTAIN STATES LIMITED.

What insurance carrier does NORTHERN MONTANA HOSPITAL use?

NORTHERN MONTANA HOSPITAL's benefit plan is written through HEALTH CARE SERVICE CORPORATION, among 3 disclosed carriers.

When does NORTHERN MONTANA HOSPITAL's group plan renew?

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

Where does this data come from?

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