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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 files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is PAYNEWEST INSURANCE A MARSH & MCLEN. Coverage is written through PACIFICSOURCE HEALTH PLANS and 3 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 81-0475376 · plan 501 · as of Jul 2026

Participants
178
Carriers on file
4
Disclosed commissions
$74,526
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
PACIFICSOURCE HEALTH PLANSHealth144December$59,147
PRINCIPAL LIFE INSURANCE COMPANYDental, Vision, Disability79December$10,575
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife39December$3,758
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife173December$1,046

Questions

Who is PLAINS HOSPITAL CORPORATION DBA CLARK FORK VALLEY HOSPITAL's benefits broker?

Per its most recent Form 5500 Schedule A, PLAINS HOSPITAL CORPORATION DBA CLARK FORK VALLEY HOSPITAL's broker of record is PAYNEWEST INSURANCE A MARSH & MCLEN.

What insurance carrier does PLAINS HOSPITAL CORPORATION DBA CLARK FORK VALLEY HOSPITAL use?

PLAINS HOSPITAL CORPORATION DBA CLARK FORK VALLEY HOSPITAL's benefit plan is written through PACIFICSOURCE HEALTH PLANS, among 4 disclosed carriers.

When does PLAINS HOSPITAL CORPORATION DBA CLARK FORK VALLEY HOSPITAL's group plan renew?

The most recent Schedule A policy period for PLAINS HOSPITAL CORPORATION DBA CLARK FORK VALLEY HOSPITAL ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from PLAINS HOSPITAL CORPORATION DBA CLARK FORK VALLEY HOSPITAL's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.