Form 5500 · Employee benefit plan · SPRINGFIELD, MA
BAYSTATE HEALTH, INC.
BAYSTATE HEALTH, INC. of SPRINGFIELD, MA insures vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is CUSTOM BENEFIT PROGRAMS INC. Coverage is written through CONTINENTAL AMERICAN INSURANCE COMPANY and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-2105941 · plan 512 · as of Aug 2026
Plan brief
Schedule A lists 7 insured contracts covering vision, life and disability; the largest, with CONTINENTAL AMERICAN INSURANCE COMPANY, covers 12,650 people.
Reported premium across the insured contracts is $5,088,376, with $139,426 in disclosed broker commissions — about 2.7% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
CUSTOM BENEFIT PROGRAMS INC is the broker of record on 1 of the 7 contracts; the rest name a different broker or none.
6 carriers appear on the filing — CONTINENTAL AMERICAN INSURANCE COMPANY, FIDELITY SECURITY LIFE INSURANCE COMPANY, RELIASTAR LIFE INSURANCE COMPANY and MAGELLAN HEALTH SERVICES among them — with CONTINENTAL AMERICAN INSURANCE COMPANY writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| RELIASTAR LIFE INSURANCE COMPANY | — | 2,008 | December | $753,906 | $125,841 |
| METROPOLITAN GENERAL INSURANCE COMPANY | — | 672 | December | $115,949 | $13,184 |
| ACE AMERICAN INSURANCE COMPANY | — | 10,552 | March | $2,675 | $401 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 40 | December | $7,606 | $0 |
| MAGELLAN HEALTH SERVICES | — | 12,866 | December | $284,519 | $0 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 11,326 | December | $1,317,322 | $0 |
| CONTINENTAL AMERICAN INSURANCE COMPANY | Life, Disability | 12,650 | December | $2,606,399 | $0 |
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