# MILLWORK ONE, INC. EMPLOYEE BENEFIT PLAN

Health and welfare plan sponsored by **MILLWORK ONE, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | MILLWORK ONE, INC. |
| EIN | 030450293 |
| Plan number | 502 |
| Plan year | 2025 |
| Location | CRANSTON, RI |
| Industry | construction |
| Funding | fully insured |
| Total premiums | $1.5M |
| Participants | 122 |
| Persons covered | 247 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BLUE CROSS BLUE SHIELD OF RHODE ISLAND | Health, Dental |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, STD, LTD, Other |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | LTD, Life, Other, STD |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| HILB GROUP OF NEW ENGLAND | BLUE CROSS BLUE SHIELD OF RHODE ISLAND |
| HILB GROUP OF NEW ENGLAND | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| IMG | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| HILB GROUP OF NEW ENGLAND | VISION SERVICE PLAN |
| HILB GROUP OF NEW ENGLAND | RELIANCE STANDARD 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/030450293-502
- Cite as: PlanOptica, https://planoptica.com/welfare/030450293-502
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