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Form 5500 · Retirement plan · TERRE HAUTE, IN

UNION HOSPITAL, INC.

The filing calls this plan UNION HEALTH 403(B)RETIREMENT PLAN.

UNION HOSPITAL, INC. of TERRE HAUTE, IN's retirement plan holds 5 insurance-company contracts (annuities or guaranteed-interest accounts), disclosed on Schedule A of its Form 5500. These are investment and funding contracts, not group health or welfare coverage. No medical, dental or life benefit is reported on this filing.

Agent of record (Schedule A)
Contract year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 35-0876396 · plan 006 · plan year 2024, filed Oct 15, 2025

Participants at the start of the year
4,813
Contracts on file
5
Contract value
$20,975,186
Plan year end
December

Plan brief

Schedule A lists 5 insurance contracts held by the plan — annuities, guaranteed-interest accounts or similar funding vehicles. The largest number are with AMERICAN UNITED LIFE INSURANCE COMPANY.

The contracts held $20,975,186 at the end of the plan year, as reported on Schedule A.

The filing discloses no agent commission on these contracts.

A Schedule A is filed for a retirement plan when plan assets sit in an insurance company contract. It reports the contract's balances and any agent commission. It does not report a health, dental or life premium, and it does not give a group renewal date.

The contract year ended in December.

Schedule A insurance contracts

CarrierContract typeCoveredYear endsContract valueCommission
AMERICAN UNITED LIFE INSURANCE COMPANYAnnuity / GIC2December$220,724$0
AMERICAN UNITED LIFE INSURANCE COMPANYAnnuity / GIC16December$1,786$0
NEW YORK LIFE INSURANCE COMPANYAnnuity / GIC2,083December$19,413,209$0
TALCOTT RESOLUTION LIFE INSURANCE COMPANYAnnuity / GIC5December$222,143$0
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYAnnuity / GIC69December$1,117,324$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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
UNION HOSPITAL, INC.
EIN 35-0876396
FID INV INST OPS CO
Recordkeeping and information management · EIN 04-2647786
$263,696
paid directly by the plan
AXIA ADVISORY CORPORATION
INVESTMENT ADVISOR · EIN 35-1859469
$75,498
paid directly by the plan
LINCOLN NATIONAL CORPORATION
Contract administrator · EIN 35-1140070
$275
paid directly by the plan
AMERICAN UNITED LIFE INSURANCE CO
Recordkeeping and information management · EIN 35-0145825
$200
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

What the plan holds

Plan assets at year end
$232,836,522
Paid out in benefits
$17,062,722
Participants at the start of the year
4,813
Participants with account balances
4,953

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

Who runs the plan

RecordkeeperEIN 04-2647786
FID INV INST OPS CO
Independent accountantEIN 35-1178661
BLUE & CO., LLC
Accountant's opinion (Schedule H, line 3a)
Unmodified

The recordkeeper and the accountant are named on Schedule C of this filing. The opinion and the fee are from Schedule H.

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