Form 5500 · Employee benefit plan · COTTONWOOD, ID
ST. MARY'S HOSPITAL, INC
The filing calls this plan SMHCV EMPLOYEE HEALTH & WELFARE PLAN.
Public Form 5500 records show how ST. MARY'S HOSPITAL, INC of COTTONWOOD, ID, a health care and social assistance employer, structures its employee benefits. Its broker of record is CHAD MURRAY. Coverage is written through VITAL WORKLIFE and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 82-0226453 · plan 504 · plan year 2025, filed Sep 9, 2026
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
354 other employer plans in Idaho have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Health: the largest of the 2 insured health contracts, with COLONIAL LIFE & ACCIDENT INSURANCE COMPANY, covers 8 of 304 participants (2.6%) on Schedule A.
One contract on this filing does not say which benefits it covers, so a line above may be insured by it.
Also declared: death benefits, other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 4 insured contracts covering health, vision, life and disability; the largest, with VITAL WORKLIFE, covers 301 people.
The filing declares health, vision, life, disability and dental. Dental appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on the contract here that does not say what it covers.
Reported premium across the insured contracts is $318,570, with $15,313 in disclosed broker commissions — about 4.8% 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.
CHAD MURRAY is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED HERITAGE LIFE INSURANCE COMPANY | Vision, Life, Disability | 166 | Jan 1, 2026 | $146,838 | $13,087 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Health | 8 | Jan 1, 2026 | $3,639 | $1,185 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Health | 8 | Jan 1, 2026 | $3,693 | $1,041 |
| VITAL WORKLIFE | — | 301 | Jan 1, 2026 | $164,400 | $0 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 225 employees, 6 recordable cases, 184 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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Renewal calendar
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