# INTERMOUNTAIN CATHOLIC HEALTH MINISTRY MEDICAL PLAN

Health and welfare plan sponsored by **SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM |
| EIN | 237379161 |
| Plan number | 521 |
| Plan year | 2025 |
| Location | BROOMFIELD, CO |
| Industry | Health Care and Social Assistance |
| Funding | fully insured |
| Total premiums | $389K |
| Participants | 11,995 |
| Persons covered | 57 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health, Rx, HMO |

## 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/237379161-521
- Cite as: PlanOptica, https://planoptica.com/welfare/237379161-521
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers