# WHITE-WILSON MEDICAL CENTER, PA EMPLOYEE BENEFITS PLAN

Health and welfare plan sponsored by **WHITE-WILSON MEDICAL CENTER, PA**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | WHITE-WILSON MEDICAL CENTER, PA |
| EIN | 593000333 |
| Plan number | 506 |
| Plan year | 2025 |
| Location | FT WALTON BEACH, FL |
| Industry | medical practice |
| Funding | fully insured |
| Total premiums | $1.3M |
| Participants | 301 |
| Persons covered | 345 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BLUE CROSS BLUE SHIELD OF FLORIDA | Health, Rx |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, STD, LTD, Other |
| DELTA DENTAL OF CALIFORNIA | Dental |
| UPMC HEALTH OPTIONS | Health, HMO |
| HUMANA INSURANCE COMPANY | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| HYLANT GROUP INC | BLUE CROSS BLUE SHIELD OF FLORIDA |
| HYLANT GROUP INC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| HYLANT GROUP INC | DELTA DENTAL INSURANCE COMPANY |
| HYLANT GROUP INC | HEALTH OPTIONS, INC. |
| HYLANT GROUP INC | HUMANA 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/593000333-506
- Cite as: PlanOptica, https://planoptica.com/welfare/593000333-506
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