# GOSHEN HEALTH COLLEAGUE BENEFIT PLAN

Health and welfare plan sponsored by **GOSHEN HEALTH SYSTEM, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | GOSHEN HEALTH SYSTEM, INC. |
| EIN | 356001540 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | GOSHEN, IN |
| Industry | medical practice |
| Funding | mixed |
| Total premiums | $886K |
| Participants | 1,643 |
| Persons covered | 1,676 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| LINCOLN FINANCIAL GROUP | Life, LTD, Other |
| VISION SERVICE PLAN (VSP) | Vision |
| ALLONE HEALTH | Other |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, STD, Other |

## Brokers

| Broker | Placed with |
|---|---|
| GALLAGHER BENEFIT SERVICES, INC. | LINCOLN NATIONAL LIFE INSURANCE COMPANY |
| AON CONSULTING INC | LINCOLN NATIONAL LIFE INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | VISION SERVICE PLAN |
| WATCHTOWER TECHNOLOGIES INC | VISION SERVICE PLAN |
| GALLAGHER BENEFIT SERVICES, INC. | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| CUSTOM BENEFIT PROGRAMS INC | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| ASSUREDPARTNERS | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| AON CONSULTING INC | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| MORRIS, CHRISTOPHER, ROBERT | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| NATIONAL BENEFITS PARTNER LLC | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| BENEFIT COMMUNICATIONS INC | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| ASSUREDPARTNERS | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| MORRIS, CHRISTOPHER, ROBERT | UNUM LIFE INSURANCE COMPANY 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/356001540-503
- Cite as: PlanOptica, https://planoptica.com/welfare/356001540-503
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