Form 5500 · Employee benefit plan · SIDNEY, OH
SHELBY COUNTY MEMORIAL HOSPITAL ASSOC. INC.
SHELBY COUNTY MEMORIAL HOSPITAL ASSOC. INC. of SIDNEY, OH files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through LINCOLN NATIONAL LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 34-4427944 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life, Disability | 524 | December | $39,246 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | 67 | December | $14,302 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 1,010 | December | $0 |
Questions
Who is SHELBY COUNTY MEMORIAL HOSPITAL ASSOC. INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, SHELBY COUNTY MEMORIAL HOSPITAL ASSOC. INC.'s broker of record is USI INSURANCE SERVICES LLC.
What insurance carrier does SHELBY COUNTY MEMORIAL HOSPITAL ASSOC. INC. use?
SHELBY COUNTY MEMORIAL HOSPITAL ASSOC. INC.'s benefit plan is written through LINCOLN NATIONAL LIFE INSURANCE COMPANY, among 3 disclosed carriers.
When does SHELBY COUNTY MEMORIAL HOSPITAL ASSOC. INC.'s group plan renew?
The most recent Schedule A policy period for SHELBY COUNTY MEMORIAL HOSPITAL ASSOC. INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from SHELBY COUNTY MEMORIAL HOSPITAL ASSOC. INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.