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Sponsor portfolioWelfare / HealthEIN 04-1212940

THE COUNTRY CLUB

191 CLYDE STREET · CHESTNUT HILL, MA 02467
6175660244
Plans filed
1
Years active
2018–2025
Industry
NAICS 71
Latest filing
2025
Total premiums (latest)
$1.1M
No prior year
Persons covered
119
No prior year
Total participants
119
No prior year
Plans filed
1
No prior year

Plans under this sponsor

1 plan
Plan #502$1.1M
THE COUNTRY CLUB HEALTH AND WELFARE BENEFITS PLAN
Fully insured119 covered·4 carriers
Primary: BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC.

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Health$1.0M28.7%
Dental$1.0M28.7%
Prescription drug$1.0M28.7%
Life$120K3.4%
Short-term disability$120K3.4%
Long-term disability$120K3.4%
Other$120K3.4%
Vision$3K0.1%

Carrier overview

4 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
BLUE CROSS OF CALIFORNIA
EIN 041045815
HRxD
$1.0M89.1%1178
UNITED OF OMAHA LIFE INSURANCE COMPANY
EIN 470322111
LSTDLTDOth
$91K8.1%11119
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
EIN 135123390
LSTDLTDOth
$29K2.6%11113
VISION SERVICE PLAN
EIN 061227840
V
$3K0.2%1128

Broker overview

1 broker · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
BROWN & BROWN INSURANCE SERVICESDEDHAM, MABLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., UNITED OF OMAHA LIFE INSURANCE COMPANY, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, VISION SERVICE PLAN$46K$0$46K100.0%1

History & trajectory

7 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.

Policy details

Latest year, by plan
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