Form 5500 · Employee benefit plan · HOUSTON, TX
WHITE ROCK MEDICAL CENTER LLC
The filing calls this plan WHITE ROCK MEDICAL CENTER LLC EMPLOYEE BENEFITS PLAN.
WHITE ROCK MEDICAL CENTER LLC of HOUSTON, TX is a 210-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is THE HILB GROUP CENTRAL LLC. Coverage is written through BLUECROSS BLUESHIELD OF TEXAS and 1 other carrier. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 82-3626083 · plan 502 · plan year 2025, filed Dec 31, 2025
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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: 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 2 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF TEXAS, covers 180 people.
Reported premium across the insured contracts is $2,042,916, with $76,637 in disclosed broker commissions — about 3.8% of premium.
The most recent policy period ended in May, and the plan year ends May 31. Group contracts typically renew on that annual cycle.
THE HILB GROUP CENTRAL LLC is the broker of record on all 2 contracts.
Two carriers split the book: BLUECROSS BLUESHIELD OF TEXAS and DEARBORN LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF TEXAS | Health, Dental | 180 | Jun 1, 2025 | $1,922,805 | $60,040 |
| DEARBORN LIFE INSURANCE COMPANY | Vision, Life, Disability | 280 | Jun 1, 2025 | $120,111 | $16,597 |
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.
How this plan compares
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