Form 5500 · Employee benefit plan · SPRINGFIELD, MA
BAYSTATE HEALTH, INC.
BAYSTATE HEALTH, INC. of SPRINGFIELD, MA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is CUSTOM BENEFIT PROGRAMS, INC.. Coverage is written through RELIASTAR LIFE INSURANCE COMPANY and 6 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 Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| RELIASTAR LIFE INSURANCE COMPANY | — | 2,008 | December | $125,841 |
| METROPOLITAN GENERAL INSURANCE COMPANY | — | 672 | December | $13,184 |
| ACE AMERICAN INSURANCE COMPANY | — | 10,552 | March | $401 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 40 | December | $0 |
| MAGELLAN HEALTH SERVICES | — | 12,866 | December | $0 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 11,326 | December | $0 |
| CONTINENTAL AMERICAN INSURANCE COMPANY | Life, Disability | 12,650 | December | $0 |
Questions
Who is BAYSTATE HEALTH, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, BAYSTATE HEALTH, INC.'s broker of record is CUSTOM BENEFIT PROGRAMS, INC..
What insurance carrier does BAYSTATE HEALTH, INC. use?
BAYSTATE HEALTH, INC.'s benefit plan is written through RELIASTAR LIFE INSURANCE COMPANY, among 7 disclosed carriers.
When does BAYSTATE HEALTH, INC.'s group plan renew?
The most recent Schedule A policy period for BAYSTATE HEALTH, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from BAYSTATE HEALTH, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.