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Sponsor portfolioWelfare / HealthEIN 35-2095108

PROVIDENCE MEDICAL GROUP LLC

2723 SOUTH 7TH STREET · TERRE HAUTE, IN 47802
8122328164
Plans filed
1
Years active
2015–2025
Industry
NAICS 62
Latest filing
2025
Total premiums (latest)
$1.5M
No prior year
Persons covered
99
No prior year
Total participants
98
No prior year
Plans filed
1
No prior year

Plans under this sponsor

1 plan
Plan #501$1.5M
PROVIDENCE MEDICAL GROUP LLC EMPLOYEE BENEFITS PLAN
Fully insured99 covered·4 carriers
Primary: ANTHEM INSURANCE COMPANIES, INC.

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Health$1.4M32.5%
Dental$1.4M32.5%
Vision$1.4M32.5%
Long-term disability$73K1.7%
Life$24K0.5%
Other$17K0.4%

Carrier overview

3 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
ANTHEM LIFE INSURANCE COMPANY
EIN 350781558
HDVL
$1.4M94.1%1298
METROPOLITAN LIFE INSURANCE COMPANY
EIN 135581829
LTD
$73K4.8%1199
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY
EIN 350472300
LOth
$17K1.1%1117

Broker overview

4 brokers · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
UMBERTO CAPODICI JR.NANUET, NYANTHEM INSURANCE COMPANIES, INC.$26K$0$26K58.0%1
YOUSSEF MARZOUKNORTH MIAMI BEACH, FLMETROPOLITAN LIFE INSURANCE COMPANY$14K$0$14K32.4%1
USI INSURANCE SERVICES LLCVIRGINIA BEACH, VATHE LINCOLN NATIONAL LIFE INSURANCE COMPANY$3K$1K$4K8.5%1
UMBERTO CAPODICIGLEN ROCK, NJANTHEM LIFE INSURANCE COMPANY$479$0$4791.1%1

History & trajectory

11 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.

Policy details

Latest year, by plan
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