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Form 5500 · Employee benefit plan · COLCHESTER, VT

BOWL NEW ENGLAND

BOWL NEW ENGLAND of COLCHESTER, VT spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is HUB INTERNATIONAL MIDWEST LIMI. Coverage is written through BERKLEY LIFE AND HEALTH INSURANCE CO. and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 03-0267492 · plan 503 · as of Aug 2026

Participants
258
Carriers on file
5
Disclosed commissions
$13,250
Renewal month
December

Plan brief

Schedule A lists 5 insured contracts covering dental, vision, life, disability and stop-loss; the largest, with BERKLEY LIFE AND HEALTH INSURANCE CO., covers 153 people.

The only insured piece of the health benefit is stop-loss coverage — the plan itself is self-funded, so premium and commission here reflect the stop-loss contract, not medical premium.

Reported premium across the insured contracts is $672,837, with $13,250 in disclosed broker commissions — about 2% 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.

HUB INTERNATIONAL MIDWEST LIMI is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
UNUM LIFE INSURANCE COMPANY OF AMERICALife, Disability283December$152,235$9,380
METROPOLITAN LIFE INSURANCE COMPANYDental317December$99,581$1,752
METROPOLITAN LIFE INSURANCE COMPANYVision130December$14,018$1,420
COLONIAL LIFE & ACCIDENT INSURANCE COMPANYLife8December$9,033$698
BERKLEY LIFE AND HEALTH INSURANCE CO.Stop-loss153December$397,970$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.

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