Form 5500 · Employee benefit plan · AMHERST, MA
AMHERST COLLEGE TRUSTEES
The filing calls this plan AMHERST COLLEGE HEALTH AND DENTAL PLAN.
AMHERST COLLEGE TRUSTEES of AMHERST, MA insures health, dental and vision coverage for its employees, per Schedule A of its Form 5500. Its broker of record is BROWN & BROWN INSURANCE SRVC INC.. Coverage is written through BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. and 5 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-2103542 · plan 507 · plan year 2025, filed Apr 9, 2026
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278 other employer plans in Massachusetts have policy years ending in June. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
One contract on this filing does not say which benefits it covers, so a line above may be insured by it.
Also declared: other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 6 insured contracts covering health, dental and vision; the largest, with BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., covers 2,177 people.
The filing declares health, dental, vision and disability. Disability appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on the contract here that does not say what it covers.
Reported premium across the insured contracts is $21,310,345, with $254,201 in disclosed broker commissions — about 1.2% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
BROWN & BROWN INSURANCE SRVC INC. is the broker of record on 1 of the 6 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | Health, Dental | 2,177 | Jul 1, 2025 | $19,535,444 | $234,947 |
| HARTFORD LIFE AND ACCIDENT | Health | 26 | Jul 1, 2025 | $97,049 | $6,593 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 1,058 | Jul 1, 2025 | $71,707 | $6,526 |
| CAREFIRST BLUECHOICE, INC. | Health, Dental, Vision | 139 | Jul 1, 2025 | $1,505,971 | $4,157 |
| EXPRESS SCRIPTS, INC. | Health | 26 | Jul 1, 2025 | $79,582 | $1,978 |
| LUCET HEALTH | — | 1,300 | Jul 1, 2025 | $20,592 | $0 |
Premium and claims on this contract
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., contract 261347. For the contract year on this filing, the carrier reported $19,535,444 in premium earned and $19,596,931 in claims incurred. Dividing one by the other gives 100%.
- BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., contract 261347 reported $-61,485 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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