# FULTON COUNTY HEALTH CENTER EMPLOYEE BENEFITS PLAN

Health and welfare plan sponsored by **FULTON COUNTY HEALTH CENTER**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | FULTON COUNTY HEALTH CENTER |
| EIN | 344428214 |
| Plan number | 505 |
| Plan year | 2025 |
| Location | WAUSEON, OH |
| Industry | hospital & health care |
| Funding | mixed |
| Total premiums | $1.7M |
| Participants | 956 |
| Persons covered | 1,075 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MEDICAL MUTUAL OF OHIO | Stop-loss |
| DELTA DENTAL OF MICHIGAN | Dental, PPO |
| HARTFORD LIFE AND ACCIDENT | Life, LTD, Other |
| VISION SERVICE PLAN (VSP) | Vision |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | Other, Life |
| TELUS HEALTH (US) LTD. | Other |

## Brokers

| Broker | Placed with |
|---|---|
| RSC INSURANCE BROKERAGE INC | MEDICAL MUTUAL OF OHIO |
| ONE80 INTERMEDIARIES INC | MEDICAL MUTUAL OF OHIO |
| FIRST INSURANCE GROUP OF MIDWEST | DELTA DENTAL OF OHIO |
| RSC INSURANCE BROKERAGE INC | DELTA DENTAL OF OHIO |
| RSC INSURANCE BROKERAGE INC | HARTFORD LIFE AND ACCIDENT |
| SELMAN & COMPANY, LLC | HARTFORD LIFE AND ACCIDENT |
| RSC INSURANCE BROKERAGE INC | VISION SERVICE PLAN |
| ALKEME INSURANCE SERVICES INC | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| SHAWN J KEELER | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| GARY MOSELEY | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| NICOLE MOSELEY | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| JOSEPH E TROIANO | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| GAYLE A. DENNIS | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| SHAWN MOSELEY | AMERICAN HERITAGE LIFE INSURANCE COMPANY |

## 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/344428214-505
- Cite as: PlanOptica, https://planoptica.com/welfare/344428214-505
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