Coverage by line
Premium dollars by benefit type (bundled lines overlap)
- Health$12.5M
- Prescription drug$12.5M
- Vision$11.3M
- Life$729K
- Short-term disability$729K
- Long-term disability$729K
- +1 more
Sponsor portfolio
FORM ENERGY, INC.
EIN 82-2266384consumer goodsLatest filing 2025
Plans
2
Retirement
1
$27.4M assets
Welfare
1
$13.3M premiums
Participants
2,028
30 DANE STREET - SOMERVILLE, MA 02143884-367-6462formenergy.comLinkedIn501-1000 employeesconsumer goods
Plans on this EIN
2 filingsBenefits portfolio analytics
1 plan / $13.3M premiums / 1,537 covered livesCarrier market share
Premium dollars by Schedule A carrier
85%top
- BLUE CROSS OF CALIFORNIA85%
- KAISER FOUNDATION HEALTH PLAN INC10%
- SUN LIFE ASSURANCE COMPANY OF CANADA5%
Broker market share
Schedule A broker compensation
100%top
- ASSUREDPARTNERS100%
Plan deep-dives
Per-plan teasers. The full analytics (fees vs peers, audit grade, trajectory, counterparties) live on each plan detail page.Retirement#001
FORM ENERGY 401(K) PLAN
401k
Assets$27.4M
Participants1,114
Inside the deep dive
Fees vs peersAudit gradeAsset trajectoryContributionsSch C providers
Open plan deep dive
Welfare#501
FORM ENERGY, INC. HEALTH AND WELFARE BENEFIT PLAN
Mixed - BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC.
Premiums$13.3M
Covered lives1,537
Inside the deep dive
Premium breakdownCarriersBrokersCoverage stats
Open plan deep dive
Retirement plans1
| Plan # | Name | Type | Assets | Participants | Latest year | |
|---|---|---|---|---|---|---|
| 001 | FORM ENERGY 401(K) PLAN | 401k | $27.4M | 1,114 | 2024 |
Welfare plans1
| Plan # | Name | Funding | Carrier | Premiums | Covered | Latest year | |
|---|---|---|---|---|---|---|---|
| 501 | FORM ENERGY, INC. HEALTH AND WELFARE BENEFIT PLAN | Mixed | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | $13.3M | 1,537 | 2025 |
Retirement plans
Welfare plans