Form 5500 · Employee benefit plan · FAIRHAVEN, MA
BRAHMIN LEATHER WORKS, LLC
The filing calls this plan BRAHMIN LEATHER WORKS LLC, EMPLOYEE BENEFIT PLAN.
BRAHMIN LEATHER WORKS, LLC of FAIRHAVEN, MA is a 140-participant retail employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is HP PLANNING LLC. Coverage is written through BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. and 3 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-1837879 · plan 501 · plan year 2025, filed Apr 15, 2026
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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.
Benefits declared on this filing
Also declared: death benefits.
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 8 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., covers 150 people.
Reported premium across the insured contracts is $1,959,563, with $84,382 in disclosed broker commissions — about 4.3% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
HP PLANNING LLC is the broker of record on 1 of the 8 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., ALTUS DENTAL INSURANCE COMPANY, INC., RELIANCE STANDARD LIFE INSURANCE COMPANY and VISION SERVICE PLAN. BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | Health | 150 | Oct 1, 2025 | $1,754,490 | $62,696 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 90 | Oct 1, 2025 | $49,381 | $9,876 |
| ALTUS DENTAL INSURANCE COMPANY, INC. | Dental | 167 | Oct 1, 2025 | $80,220 | $4,733 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 176 | Oct 1, 2025 | $20,548 | $3,082 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 37 | Oct 1, 2025 | $19,881 | $1,988 |
| VISION SERVICE PLAN | Vision | 80 | Oct 1, 2025 | $17,357 | $1,282 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 34 | Oct 1, 2025 | $3,406 | $511 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 176 | Oct 1, 2025 | $14,280 | $214 |
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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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