Form 5500 · Employee benefit plan · OCONOMOWOC, WI
ROGERS MEMORIAL HOSPITAL, INC.
ROGERS MEMORIAL HOSPITAL, INC. of OCONOMOWOC, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BROWN & BROWN OF MINNESOTA, INC.. Coverage is written through PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1139101 · plan 510 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | 55 | December | $13,535 |
| VISION SERVICE PLAN | Vision | 1,383 | December | $0 |
| UNITED HEALTHCARE INSURANCE COMPANY | — | 2,266 | December | $0 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 2,266 | December | $0 |
| UNUM INSURANCE COMPANY | — | 569 | December | $0 |
Questions
Who is ROGERS MEMORIAL HOSPITAL, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, ROGERS MEMORIAL HOSPITAL, INC.'s broker of record is BROWN & BROWN OF MINNESOTA, INC..
What insurance carrier does ROGERS MEMORIAL HOSPITAL, INC. use?
ROGERS MEMORIAL HOSPITAL, INC.'s benefit plan is written through PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY, among 5 disclosed carriers.
When does ROGERS MEMORIAL HOSPITAL, INC.'s group plan renew?
The most recent Schedule A policy period for ROGERS MEMORIAL HOSPITAL, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from ROGERS MEMORIAL HOSPITAL, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.