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Form 5500 · Employee benefit plan · CAVALIER, ND

PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION

Public Form 5500 records show how PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION (CAVALIER, ND) structures its employee benefits. Its broker of record is MARSH & MCLENNAN AGENCY LLC. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 4 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 45-6013474 · plan 501 · as of Jul 2026

Participants
112
Carriers on file
5
Disclosed commissions
$16,094
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
UNITED OF OMAHA LIFE INSURANCE COMPANYDental82December$7,922
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability98December$2,838
UNITED OF OMAHA LIFE INSURANCE COMPANYLife45December$2,565
AMERITAS LIFE INSURANCE CORP.Vision79December$1,688
UNITED OF OMAHA LIFE INSURANCE COMPANYLife108December$1,081

Questions

Who is PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION's benefits broker?

Per its most recent Form 5500 Schedule A, PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION's broker of record is MARSH & MCLENNAN AGENCY LLC.

What insurance carrier does PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION use?

PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION's benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 5 disclosed carriers.

When does PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION's group plan renew?

The most recent Schedule A policy period for PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

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