# OLD COLONY Y HEALTH AND WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **OLD COLONY Y**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | OLD COLONY Y |
| EIN | 042125014 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | BROCKTON, MA |
| Industry | non-profit organization management |
| Funding | fully insured |
| Total premiums | $5.6M |
| Participants | 601 |
| Persons covered | 594 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BCBS OF MASSACHUSETTS | Health, Dental |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Life, STD, LTD |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| NFP INSURANCE SERVICES INC | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS |
| NFP INSURANCE SERVICES INC | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA |
| INDIGO INSURANCE SERVICES | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA |
| NFP INSURANCE SERVICES INC | VISION SERVICE PLAN |

## 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/042125014-503
- Cite as: PlanOptica, https://planoptica.com/welfare/042125014-503
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