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Form 5500 · Employee benefit plan · FALL RIVER, MA

ASHWORTH BROS., INC.

The filing calls this plan GROUP INSURANCE PLAN OF ASHWORTH BROS., INC.

Public Form 5500 records show how ASHWORTH BROS., INC. of FALL RIVER, MA, a manufacturing employer, structures its employee benefits. Its broker of record is THE SEGAL CO.. Coverage is written through AETNA LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in April.

Benefits broker of record
Policy year ends
Aprilas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 32-0002391 · plan 501 · plan year 2024, filed Jul 31, 2025

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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.

All participants at the start of the year
154
Active at start of year
154
Active at end of year
159
Disclosed commissions
$0
Typical renewal
May 1

Benefits declared on this filing

Healthinsured — AETNA LIFE INSURANCE COMPANY261 of 154 participants
Dentalinsured — AETNA LIFE INSURANCE COMPANY261 of 154 participants
Visionnot declared on this filing
Lifeinsured — PRUDENTIAL INSURANCE COMPANY OF AMERICA170 of 154 participants
Disabilityinsured — PRUDENTIAL INSURANCE COMPANY OF AMERICA100 of 154 participants (65%) on the largest contract

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 4 insured contracts covering health, dental, life and disability; the largest, with AETNA LIFE INSURANCE COMPANY, covers 261 people.

Reported premium is $3,168,773; the filing discloses no broker commission on these contracts.

The most recent policy period ended in April, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

THE SEGAL CO. is the broker of record on all 4 contracts.

Two carriers split the book: AETNA LIFE INSURANCE COMPANY and PRUDENTIAL INSURANCE COMPANY OF AMERICA.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
AETNA LIFE INSURANCE COMPANYHealth, Dental261May 1, 2024$3,026,260$0
PRUDENTIAL INSURANCE COMPANY OF AMERICALife170May 1, 2024$90,603$0
PRUDENTIAL INSURANCE COMPANY OF AMERICADisability100May 1, 2024$34,037$0
PRUDENTIAL INSURANCE COMPANY OF AMERICADisability42May 1, 2024$17,873$0

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
ASHWORTH BROS., INC.
EIN 32-0002391
SEGAL COMPANY INC
BROKER · EIN 13-1835864
$93,477
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 233 employees, 8 recordable cases, 452 days away from work.

EmployeesThe company's own average for the year
233
Hours worked
368,383
Recordable cases
8
Days away from work
452
Establishments filed under this EIN
3

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

How this plan compares

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