# WAGONER HOSPITAL AUTHORITY, AN OKLAHOMA PUBLIC TRUST, DBA WAGONER COMMUNITY HOSPITAL

Health and welfare plan sponsored by **WAGONER HOSPITAL AUTHORITY, AN OKLAHOMA PUBLIC TRUST** (dba WAGONER COMMUNITY HOSPITAL). Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | WAGONER HOSPITAL AUTHORITY, AN OKLAHOMA PUBLIC TRUST |
| EIN | 352276246 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | WAGONER, OK |
| Industry | medical practice |
| Funding | fully insured |
| Total premiums | $1.1M |
| Participants | 152 |
| Persons covered | 209 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| COMMUNITY CARE | Health, HMO, PPO, Other |
| STANDARD INSURANCE COMPANY | Life, STD, LTD, Indemnity |
| NATIONAL GUARDIAN LIFE INSURANCE COMPANY | Dental |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| RELATION INSURANCE SERVICES OF CA | COMMUNITY CARE HMO AND PPO |
| RELATION INSURANCE SERVICES OF CA | STANDARD INSURANCE COMPANY |
| CENTRO BENEFITS RESEARCH LLC | STANDARD INSURANCE COMPANY |
| ADP INC | STANDARD INSURANCE COMPANY |
| RELATION INSURANCE SERVICES OF CA | NATIONAL GUARDIAN LIFE INSURANCE COMPANH |
| RELATION INSURANCE SERVICES OF CA | VISION SERVICE PLAN |

## 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/352276246-501
- Cite as: PlanOptica, https://planoptica.com/welfare/352276246-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers