# NOTRE DAME HEALTH CARE CENTER, INC. EMPLOYEE BENFITS PLAN

Health and welfare plan sponsored by **NOTRE DAME HEALTH CARE CENTER, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | NOTRE DAME HEALTH CARE CENTER, INC. |
| EIN | 043108782 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | WORCESTER, MA |
| Industry | hospital & health care |
| Funding | fully insured |
| Total premiums | $2.5M |
| Participants | 288 |
| Persons covered | 261 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| HARVARD PILGRIM HEALTH CARE | Health |
| DELTA DENTAL | Dental |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | STD |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Life, LTD, Other |
| BCBS OF MASSACHUSETTS | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| ONEDIGITAL EXPRESSLINK LLC | HARVARD PILGRIM HEALTH CARE |
| RSC INSURANCE BROKERAGE INC | DELTA DENTAL |
| VARIOUS BROKERS (LIST ATTACHED) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| VARIOUS BROKERS (LIST ATTACHED) | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA |
| RSC INSURANCE BROKERAGE INC | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC |

## 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/043108782-503
- Cite as: PlanOptica, https://planoptica.com/welfare/043108782-503
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