# COMMUNITY MEMORIAL HOSPITAL WELFARE BENEFITS PLAN

Health and welfare plan sponsored by **COMMUNITY MEMORIAL HOSPITAL**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | COMMUNITY MEMORIAL HOSPITAL |
| EIN | 150548010 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | HAMILTON, NY |
| Industry | hospital & health care |
| Funding | fully insured |
| Total premiums | $227K |
| Participants | 423 |
| Persons covered | 423 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Life, Other |

## Brokers

| Broker | Placed with |
|---|---|
| WORLD INSURANCE ASSOCIATES LLC | THE GUARDIAN LIFE INSURANCE CO |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/150548010-501
- Cite as: PlanOptica, https://planoptica.com/welfare/150548010-501
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