Form 5500 · Employee benefit plan · PLAINS, MT
PLAINS HOSPITAL CORPORATION DBA CLARK FORK VALLEY HOSPITAL
PLAINS HOSPITAL CORPORATION DBA CLARK FORK VALLEY HOSPITAL of PLAINS, MT spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is PAYNEWEST INSURANCE A MARSH & MCLEN. Coverage is written through PACIFICSOURCE HEALTH PLANS and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-0475376 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 4 insured contracts covering health, dental, vision, life and disability; the largest, with PACIFICSOURCE HEALTH PLANS, covers 144 people.
Reported premium across the insured contracts is $2,115,129, with $74,526 in disclosed broker commissions — about 3.5% 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.
PAYNEWEST INSURANCE A MARSH & MCLEN is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
3 carriers appear on the filing — PACIFICSOURCE HEALTH PLANS, PRINCIPAL LIFE INSURANCE COMPANY and THE LINCOLN NATIONAL LIFE INSURANCE COMPANY — with PACIFICSOURCE HEALTH PLANS writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PACIFICSOURCE HEALTH PLANS | Health | 144 | December | $1,969,282 | $59,147 |
| PRINCIPAL LIFE INSURANCE COMPANY | Dental, Vision, Disability | 79 | December | $113,820 | $10,575 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 39 | December | $25,053 | $3,758 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 173 | December | $6,974 | $1,046 |
More employer plans in Montana — largest plans, brokers, carriers and renewal months.