# THE ARC OF BLACKSTONE VALLEY EMPLOYEE WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **THE ARC OF BLACKSTONE VALLEY**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | THE ARC OF BLACKSTONE VALLEY |
| EIN | 050300152 |
| Plan number | 508 |
| Plan year | 2025 |
| Location | PAWTUCKET, RI |
| Industry | medical practice |
| Funding | mixed |
| Total premiums | $128K |
| Participants | 146 |
| Persons covered | 146 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BOSTON MUTUAL LIFE INSURANCE COMPANY | Life, Other |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Life, LTD, Other |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Other |
| DELTA DENTAL OF RHODE ISLAND | Dental |

## Brokers

| Broker | Placed with |
|---|---|
| STARKWEATHER & SHEPLEY, INC. | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA |
| JAMES R NELLIGAN & ASSOCIATES LLC | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA |
| STARKWEATHER & SHEPLEY, INC. | BOSTON MUTUAL LIFE INSURANCE COMPANY |
| STARKWEATHER & SHEPLEY, INC. | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| JAMES V. O'SULLIVAN JR | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| GALLAGHER BENEFIT SERVICES, INC. | DELTA DENTAL OF RHODE ISLAND |

## 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/050300152-508
- Cite as: PlanOptica, https://planoptica.com/welfare/050300152-508
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