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Sponsor portfolioWelfare / HealthEIN 82-2266384
FORM ENERGY, INC.
30 DANE STREET · SOMERVILLE, MA 02143
8843676462
- Plans filed
- 1
- Years active
- 2022–2025
- Industry
- NAICS 54
- Latest filing
- 2025
Total premiums (latest)
$13.3M
No prior year
Persons covered
1,537
No prior year
Total participants
914
No prior year
Plans filed
1
No prior year
Plans under this sponsor
1 plan
Coverage overview
Aggregate, latest year
| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $12.5M | 31.9% | |
| Prescription drug | $12.5M | 31.9% | |
| Vision | $11.3M | 28.7% | |
| Life | $729K | 1.9% | |
| Short-term disability | $729K | 1.9% | |
| Long-term disability | $729K | 1.9% | |
| Other | $729K | 1.9% |
Carrier overview
3 carriers · all plans
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 041045815 | HRxV | $11.3M | 84.9% | 1 | 1 | 1,537 |
EIN 941340523 | HRx | $1.3M | 9.6% | 1 | 1 | 168 |
EIN 381082080 | LSTDLTDOth | $729K | 5.5% | 1 | 1 | 902 |
Broker overview
1 broker · all plans
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| ASSUREDPARTNERS | METHUEN, MA | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., SUN LIFE ASSURANCE COMPANY OF CANADA, KAISER FOUNDATION HEALTH PLAN, INC. | $275K | $90K | $365K | 100.0% | 1 |
History & trajectory
4 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