# GRACEMED HEALTH CLINIC INC WELFARE BENEFIT PLAN

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

| Field | Value |
|---|---|
| Sponsor | GRACEMED HEALTH CLINIC, INC. |
| EIN | 481159633 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | WICHITA, KS |
| Industry | hospital & health care |
| Funding | mixed |
| Total premiums | $497K |
| Participants | 271 |
| Persons covered | 271 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life, STD, LTD, Other |
| DELTA DENTAL OF KANSAS, INC. | Dental |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Other |
| SURENCY LIFE AND HEALTH | Vision |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | Other |

## Brokers

| Broker | Placed with |
|---|---|
| USI INSURANCE SERVICES LLC | RELIANCE STANDARD LIFE INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | DELTA DENTAL OF KANSAS, INC. |
| USI INSURANCE SERVICES LLC | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| SAMUEL A MCFALL | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| RODNEY G STORCK | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| MARILYN B BOWLING | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| RYAN BOWLING | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| NATIONAL ENROLLMENT PARTNERS LLC | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| RON BOWLING | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | SURENCY LIFE AND HEALTH |
| MOVIN 4WARD, LLC | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD |

## 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/481159633-503
- Cite as: PlanOptica, https://planoptica.com/welfare/481159633-503
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers