Form 5500 · Employee benefit plan · MONTPELIER, VT
BLUE CROSS AND BLUE SHIELD OF VERMONT
BLUE CROSS AND BLUE SHIELD OF VERMONT of MONTPELIER, VT is a 435-participant finance and insurance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is COMBINED SERVICES, LLC. Coverage is written through SYMETRA LIFE INSURANCE COMPANY. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 03-0277307 · plan 505 · as of Aug 2026
Plan brief
The filing discloses a single insured line — life — through SYMETRA LIFE INSURANCE COMPANY, covering 424 people.
Reported premium across the insured contracts is $143,607, with $16,707 in disclosed broker commissions — about 12% 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.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SYMETRA LIFE INSURANCE COMPANY | Life | 424 | December | $143,607 | $16,707 |
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.
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