Form 5500 · Employee benefit plan · DAYTON, OH
PROVIDENCE MEDICAL GROUP, INC.
Public Form 5500 records show how PROVIDENCE MEDICAL GROUP, INC. (DAYTON, OH) structures its employee benefits. Its broker of record is MCGOHAN BRABENDER AGENCY INC. Coverage is written through HARTFORD LIFE AND ACCIDENT and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 42-1534506 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 88 | December | $16,617 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Stop-loss | 72 | December | $12,919 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Dental | 72 | December | $1,382 |
| DENTAL CARE PLUS | Dental | 135 | July | $989 |
| EYEMED VISION CARE | Vision | 127 | December | $793 |
| RXBENEFITS, INC | — | 71 | December | $0 |
Questions
Who is PROVIDENCE MEDICAL GROUP, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, PROVIDENCE MEDICAL GROUP, INC.'s broker of record is MCGOHAN BRABENDER AGENCY INC.
What insurance carrier does PROVIDENCE MEDICAL GROUP, INC. use?
PROVIDENCE MEDICAL GROUP, INC.'s benefit plan is written through HARTFORD LIFE AND ACCIDENT, among 6 disclosed carriers.
When does PROVIDENCE MEDICAL GROUP, INC.'s group plan renew?
The most recent Schedule A policy period for PROVIDENCE MEDICAL GROUP, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from PROVIDENCE MEDICAL GROUP, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.