Form 5500 · Employee benefit plan · MILLERSBURG, OH
POMERENE HOSPITAL
POMERENE HOSPITAL of MILLERSBURG, OH files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HUMMEL GROUP INC. Coverage is written through AULTCARE INSURANCE COMPANY and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 31-1518658 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| AULTCARE INSURANCE COMPANY | Health, Dental | 276 | December | $34,212 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | Life | 89 | December | $20,587 |
| GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | 421 | December | $12,120 |
| GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | 70 | December | $5,215 |
| EYEMED VISION CARE | Vision | 677 | December | $2,950 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 329 | December | $1,794 |
Questions
Who is POMERENE HOSPITAL's benefits broker?
Per its most recent Form 5500 Schedule A, POMERENE HOSPITAL's broker of record is HUMMEL GROUP INC.
What insurance carrier does POMERENE HOSPITAL use?
POMERENE HOSPITAL's benefit plan is written through AULTCARE INSURANCE COMPANY, among 6 disclosed carriers.
When does POMERENE HOSPITAL's group plan renew?
The most recent Schedule A policy period for POMERENE HOSPITAL ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from POMERENE HOSPITAL's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.