# BCBSRI GROUP LIFE INSURANCE PLAN

Health and welfare plan sponsored by **BLUE CROSS & BLUE SHIELD OF RHODE ISLAND**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | BLUE CROSS & BLUE SHIELD OF RHODE ISLAND |
| EIN | 050158952 |
| Plan number | 508 |
| Plan year | 2025 |
| Location | PROVIDENCE, RI |
| Industry | insurance |
| Funding | fully insured |
| Total premiums | $539K |
| Participants | 1,362 |
| Persons covered | 1,129 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| HARTFORD LIFE AND ACCIDENT | Life, Other |

## Brokers

| Broker | Placed with |
|---|---|
| HILB GROUP OF NEW ENGLAND | HARTFORD LIFE AND ACCIDENT |
| INDIGO INS SERVICES LLC | HARTFORD LIFE AND ACCIDENT |

## 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/050158952-508
- Cite as: PlanOptica, https://planoptica.com/welfare/050158952-508
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers