Form 5500 · Employee benefit plan · TERRE HAUTE, IN
PROVIDENCE MEDICAL GROUP LLC
Public Form 5500 records show how PROVIDENCE MEDICAL GROUP LLC (TERRE HAUTE, IN) structures its employee benefits. Its broker of record is UMBERTO CAPODICI JR. Coverage is written through ANTHEM INSURANCE COMPANIES, INC. and 3 other carriers. The plan's most recent policy period ended in April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 35-2095108 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC. | Health, Dental, Vision | 69 | April | $25,899 |
| METROPOLITAN LIFE INSURANCE COMPANY | Disability | 99 | March | $14,476 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 17 | July | $2,616 |
| ANTHEM LIFE INSURANCE COMPANY | Life | 98 | April | $479 |
Questions
Who is PROVIDENCE MEDICAL GROUP LLC's benefits broker?
Per its most recent Form 5500 Schedule A, PROVIDENCE MEDICAL GROUP LLC's broker of record is UMBERTO CAPODICI JR.
What insurance carrier does PROVIDENCE MEDICAL GROUP LLC use?
PROVIDENCE MEDICAL GROUP LLC's benefit plan is written through ANTHEM INSURANCE COMPANIES, INC., among 4 disclosed carriers.
When does PROVIDENCE MEDICAL GROUP LLC's group plan renew?
The most recent Schedule A policy period for PROVIDENCE MEDICAL GROUP LLC ended in April. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from PROVIDENCE MEDICAL GROUP LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.