# SHALOM HOUSE INSURANCE BENEFIT PLAN

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

| Field | Value |
|---|---|
| Sponsor | SHALOM HOUSE, INC. |
| EIN | 237119236 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | PORTLAND, ME |
| Industry | consumer services |
| Funding | fully insured |
| Total premiums | $2.5M |
| Participants | 195 |
| Persons covered | 260 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| HARVARD PILGRIM HEALTH CARE | Health, Rx, HMO, PPO |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, STD, LTD, Other |
| NORTHEAST DELTA DENTAL | Dental |
| RED TREE INSURANCE COMPANY, INC. | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| USI INSURANCE SERVICES LLC | HARVARD PILGRIM HEALTH CARE |
| USI INSURANCE SERVICES LLC | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| NEESENROLL | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| KEVIN JOHN CONWAY | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| USI INSURANCE SERVICES LLC | DELTA DENTAL PLAN OF MAINE |
| USI INSURANCE SERVICES LLC | HPHC INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | RED TREE INSURANCE COMPANY, INC |
| COMBINED SERVICES LLC | RED TREE INSURANCE COMPANY, INC |
| NEESENROLL | UNUM INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | UNUM INSURANCE COMPANY |
| KEVIN JOHN CONWAY | UNUM 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/237119236-501
- Cite as: PlanOptica, https://planoptica.com/welfare/237119236-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers