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  2. Claxton-Hepburn Medical Center
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Filings through Oct 24, 2026.

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Claxton-Hepburn Medical Center

EIN 15-0559686-hospital & health care-Latest filing 2024
Plans
4
Retirement
2
$125.0M assets
Health & Benefits
2
$1.5M premiums
Participants
2,935
214 KING ST - OGDENSBURG, NY 136691142315-393-3600claxtonhepburn.orgLinkedIn501-1000 employeeshospital & health care
Plans on this EIN
4 filings
#004403(b)-$88.0M - 1,115 part#001Traditional DB-$37.0M - 701 part#501Self-funded-$835K - 255 lives#502Mixed-$696K - 864 lives

Health & Benefits portfolio - carriers, brokers and premium across this company's 2 health and benefits plans.

Retirement portfolio analytics

2 plans aggregated / $125.0M assets / 1,816 participants

Assets by plan

Share of aggregate retirement assets

  • 403B RETIREMENT PLAN (#004)$88.0M
  • CLAXTON-HEPBURN MEDICAL CENTER (#001)$37.0M
Total $125.0MSelect a row to open it

Recordkeeper share

DC plan assets by Schedule C recordkeeper

Entrenched
  • BENEFIT PLANS ADMIN SERVICES, INC.$88.0M
  • (Not disclosed)$37.0M
Total $125.0MSelect a row to open it

Participants by plan

Active + retired + deferred vested

  • 403B RETIREMENT PLAN (#004)1,115
  • CLAXTON-HEPBURN MEDICAL CENTER (#001)701
Total 1,816Select a row to open it

Benefits portfolio analytics

2 plans / $1.5M premiums / 1,119 covered lives

Coverage by line

Premium dollars by benefit type (bundled lines overlap)

  • Stop-loss$835K
  • Other$696K
  • Dental$271K
  • Vision$271K
  • Life$240K
  • Short-term disability$185K
Total $1.5M6 rows
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Plan summaries

Each card links to its plan page. The plan page shows fees vs peers, audit grade, history and counterparties.

Retirement#004

CLAXTON-HEPBURN MEDICAL CENTER 403B RETIREMENT PLAN

403(b)

Assets$88.0M
Participants1,115
On the plan page
Fees vs peersAudit gradeAsset trajectoryContributionsSch C providers
Open plan
Retirement#001

RETIREMENT PLAN FOR EMPLOYEES OF CLAXTON-HEPBURN MEDICAL CENTER

Traditional DB

Assets$37.0M
Participants701
On the plan page
Fees vs peersAudit gradeAsset trajectoryContributionsSch C providers
Open plan
Health & Benefits#501

CLAXTON-HEPBURN MEDICAL CENTER GROUP HEALTH BENEFIT PLAN

Self-funded - OPTUM HEALTH (UNIMERICA INSURANCE COMPANY)

Premiums$835K
Covered lives255
On the plan page
Premium breakdownCarriersBrokersCoverage stats
Open plan
Health & Benefits#502

CLAXTON-HEPBURN MEDICAL CENTER WELFARE BENEFIT PLAN

Mixed - SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.)

Premiums$696K
Covered lives864
On the plan page
Premium breakdownCarriersBrokersCoverage stats
Open plan

Retirement plans

2 plans on this EIN

PlanNameTypeAssetsParticipantsLatest year
#004CLAXTON-HEPBURN MEDICAL CENTER 403B RETIREMENT PLAN403(b)$88.0M1,1152024
#001RETIREMENT PLAN FOR EMPLOYEES OF CLAXTON-HEPBURN MEDICAL CENTERTraditional DB$37.0M7012024
  • CLAXTON-HEPBURN MEDICAL CENTER 403B RETIREMENT PLAN$88.0M
    #004 · 403(b) · 20241,115
  • RETIREMENT PLAN FOR EMPLOYEES OF CLAXTON-HEPBURN MEDICAL CENTER$37.0M
    #001 · Traditional DB · 2024701

Health & Benefits plans

2 plans on this EIN

PlanNameFundingCarrierPremiumsCoveredLatest year
#501CLAXTON-HEPBURN MEDICAL CENTER GROUP HEALTH BENEFIT PLANSelf-fundedOPTUM HEALTH (UNIMERICA INSURANCE COMPANY)$835K2552024
#502CLAXTON-HEPBURN MEDICAL CENTER WELFARE BENEFIT PLANMixedSUN LIFE AND HEALTH INSURANCE COMPANY (U.S.)$696K8642024
  • CLAXTON-HEPBURN MEDICAL CENTER GROUP HEALTH BENEFIT PLAN$835K
    #501 · Self-funded · OPTUM HEALTH (UNIMERICA INSURANCE COMPANY) · 2024255
  • CLAXTON-HEPBURN MEDICAL CENTER WELFARE BENEFIT PLAN$696K
    #502 · Mixed · SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) · 2024864
Retirement plans
Health & Benefits plans

On this page

  1. Retirement analytics
  2. Benefits analytics
  3. Plan summaries
  4. Retirement plans
  5. Health & Benefits plans
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