Form 5500 · Employee benefit plan · HILLSBORO, OR
VIRGINIA GARCIA MEMORIAL HEALTH CENTER
The filing calls this plan VIRGINIA GARCIA MEMORIAL HEALTH CENTER WELFARE BENEFIT PLAN.
VIRGINIA GARCIA MEMORIAL HEALTH CENTER of HILLSBORO, OR insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is DAVIDSON BENEFITS PLANNING. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST and 3 other carriers. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-0717997 · plan 502 · plan year 2025, filed Oct 6, 2025
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33 other employer plans in Oregon have policy years ending in March. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
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.
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, dental, vision, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, covers 1,075 people.
Reported premium across the insured contracts is $8,823,887, with $17,695 in disclosed broker commissions — about 0.2% of premium.
The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.
DAVIDSON BENEFITS PLANNING is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, UNUM LIFE INSURANCE COMPANY OF AMERICA, UNUM INSURANCE COMPANY and CANOPY. KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 702 | Apr 1, 2025 | $433,183 | $13,654 |
| UNUM INSURANCE COMPANY | — | 130 | Apr 1, 2025 | $26,924 | $4,041 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health, Dental, Vision | 1,075 | Apr 1, 2025 | $8,348,447 | $0 |
| CANOPY | — | 733 | Apr 1, 2025 | $15,333 | $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.
Other plans filed by this employer
How this plan compares
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Renewal calendar
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