# RIVER VALLEY HEALTH EMPLOYEE BENEFIT PLAN

Health and welfare plan sponsored by **RIVER VALLEY HEALTH**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | RIVER VALLEY HEALTH |
| EIN | 208979596 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | WILLIAMSPORT, PA |
| Industry | hospital & health care |
| Funding | fully insured |
| Total premiums | $1.9M |
| Participants | 112 |
| Persons covered | 143 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| HIGHMARK INC. | Health, Rx, PPO |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, LTD, Other |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, STD, Other |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| ASSUREDPARTNERS | HIGHMARK, INC. |
| USI INSURANCE SERVICES LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| USI INSURANCE SERVICES LLC | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| BENECHOICE ENROLLMENT SOLUTIONS | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| PETRINA SKILES | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| EAGLE-HAMBRIGHT & DAVIES, INC | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| ELIZABETH JANE GRIFFITHS | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| ROGERS BENEFIT GROUP INC | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| MARY J YARNELL | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | VISION BENEFITS OF AMERICA |

## 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/208979596-501
- Cite as: PlanOptica, https://planoptica.com/welfare/208979596-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers