Form 5500 · Employee benefit plan · WINDBER, PA
WINBER HOSPITAL INC CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER
The filing calls this plan WINDBER MEDICAL CENTER HEALTH AND WELFARE PLAN.
WINBER HOSPITAL INC CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER of WINDBER, PA is a 275-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is PETRINA SKILES. Coverage is written through COLONIAL LIFE & ACCIDENT INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 25-1244202 · plan 503 · plan year 2025, filed Mar 16, 2026
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629 other employer plans in Pennsylvania have policy years ending in June. 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
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.
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 vision, life and disability; the largest, with COLONIAL LIFE & ACCIDENT INSURANCE COMPANY, covers 108 people.
The filing declares vision, life, disability, health and dental. Health and dental appear with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $244,822, with $15,444 in disclosed broker commissions — about 6.3% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
PETRINA SKILES 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 |
|---|---|---|---|---|---|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life, Disability | 108 | Jul 1, 2025 | $134,494 | $15,444 |
| KANSAS CITY LIFE INSURANCE COMPANY | Life | 408 | Jul 1, 2025 | $68,300 | $0 |
| HEARTLAND | Vision | 444 | Jul 1, 2025 | $38,248 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 9 | Jul 1, 2025 | $3,780 | $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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