# ST. ROSE HOSPITAL CONSOLIDATED WELFARE PLAN

Health and welfare plan sponsored by **HAYWARD SISTERS HOSPITAL, A CALIFORNIA NONPROFIT CORPORATION** (dba DBA ST. ROSE HOSPITAL). Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | HAYWARD SISTERS HOSPITAL, A CALIFORNIA NONPROFIT CORPORATION |
| EIN | 941668344 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | HAYWARD, CA |
| Industry | Health Care and Social Assistance |
| Funding | mixed |
| Total premiums | $536K |
| Participants | 546 |
| Persons covered | 495 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, Other, LTD |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | STD, Other |

## Brokers

| Broker | Placed with |
|---|---|
| AFLAC - SEE ATTACHMENT | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| ALLIANT INSURANCE SERVICES, INC. | UNITED OF OMAHA 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/941668344-501
- Cite as: PlanOptica, https://planoptica.com/welfare/941668344-501
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