Form 5500 · Employee benefit plan · GRANTS PASS, OR
SISKIYOU COMMUNITY HEALTH CENTER
SISKIYOU COMMUNITY HEALTH CENTER of GRANTS PASS, OR files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BOB HART INSURANCE. Coverage is written through MODA HEALTH and 8 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-0628804 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| MODA HEALTH | Health | 360 | December | $41,058 |
| OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | Dental | 317 | December | $7,226 |
| UNITED HERITAGE LIFE INSURANCE COMPANY | — | 116 | December | $5,431 |
| UNITED HERITAGE LIFE INSURANCE COMPANY | Disability | 238 | December | $4,753 |
| UNITED HERITAGE LIFE INSURANCE COMPANY | — | 108 | December | $3,702 |
| UNITED HERITAGE LIFE INSURANCE COMPANY | Vision | 162 | December | $2,941 |
| UNITED HERITAGE LIFE INSURANCE COMPANY | — | 79 | December | $2,808 |
| UNITED HERITAGE LIFE INSURANCE COMPANY | — | 238 | December | $2,150 |
| UNITED HERITAGE LIFE INSURANCE COMPANY | Life | 238 | December | $786 |
Questions
Who is SISKIYOU COMMUNITY HEALTH CENTER's benefits broker?
Per its most recent Form 5500 Schedule A, SISKIYOU COMMUNITY HEALTH CENTER's broker of record is BOB HART INSURANCE.
What insurance carrier does SISKIYOU COMMUNITY HEALTH CENTER use?
SISKIYOU COMMUNITY HEALTH CENTER's benefit plan is written through MODA HEALTH, among 9 disclosed carriers.
When does SISKIYOU COMMUNITY HEALTH CENTER's group plan renew?
The most recent Schedule A policy period for SISKIYOU COMMUNITY HEALTH CENTER ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from SISKIYOU COMMUNITY HEALTH CENTER's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.