Form 5500 · Employee benefit plan · CORVALLIS, OR
SAMARITAN HEALTH SERVICES
SAMARITAN HEALTH SERVICES of CORVALLIS, OR is a 5,759-participant health care and social assistance employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through LIFE INSURANCE COMPANY OF NORTH AMERICA and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-0951989 · plan 505 · as of Aug 2026
Plan brief
Schedule A lists 14 insured contracts covering dental, life and disability; the largest, with LIFE INSURANCE COMPANY OF NORTH AMERICA, covers 5,507 people.
Reported premium across the insured contracts is $9,973,833, with $405,856 in disclosed broker commissions — about 4.1% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
MERCER HEALTH AND BENEFITS, LLC is the broker of record on 11 of the 14 contracts; the rest name a different broker or none.
6 carriers appear on the filing — LIFE INSURANCE COMPANY OF NORTH AMERICA, WILLAMETTE DENTAL INSURANCE, INC., CIGNA HEALTH AND LIFE INSURANCE COMPANY and PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY among them — with LIFE INSURANCE COMPANY OF NORTH AMERICA writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 1,446 | December | $597,174 | $109,718 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 804 | December | $380,426 | $69,918 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 5,507 | December | $2,415,892 | $60,397 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 4,050 | December | $2,181,575 | $54,539 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 1,891 | December | $178,232 | $32,615 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 3,508 | December | $1,064,487 | $26,612 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 536 | December | $85,987 | $14,320 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 5,507 | December | $527,269 | $13,182 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 499 | December | $447,912 | $11,198 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | Life | 282 | December | $98,638 | $5,603 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 2,140 | December | $188,352 | $4,709 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 5,507 | December | $110,393 | $2,760 |
| ACE AMERICAN INSURANCE COMPANY | — | 628 | December | $1,900 | $285 |
| WILLAMETTE DENTAL INSURANCE, INC. | Dental | 4,211 | December | $1,695,596 | $0 |
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