Form 5500 · Employee benefit plan · WEST WARWICK, RI
CENTREVILLE SAVINGS BANK
The filing calls this plan CENTREVILLE SAVINGS BANK WELFARE WRAP PLAN.
CENTREVILLE SAVINGS BANK of WEST WARWICK, RI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MARSH & MCLENNAN AGENCY LLC. Coverage is written through BLUE CROSS BLUE SHIELD OF RHODE ISLAND and 2 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 05-0118560 · plan 502 · plan year 2025, filed Nov 14, 2025
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20 other employer plans in Rhode Island have policy years ending in June. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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
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 10 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF RHODE ISLAND, covers 407 people.
Reported premium across the insured contracts is $3,179,810, with $22,058 in disclosed broker commissions — about 0.7% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
MARSH & MCLENNAN AGENCY LLC is the broker of record on 6 of the 10 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF RHODE ISLAND, PRUDENTIAL INSURANCE COMPANY OF AMERICA and DELTA DENTAL OF RHODE ISLAND. BLUE CROSS BLUE SHIELD OF RHODE ISLAND writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, Disability | 295 | Jul 1, 2025 | $204,671 | $12,331 |
| DELTA DENTAL OF RHODE ISLAND | Dental | 268 | Jul 1, 2025 | $117,761 | $4,593 |
| DELTA DENTAL OF RHODE ISLAND | Vision | 353 | Jul 1, 2025 | $24,130 | $2,413 |
| DELTA DENTAL OF RHODE ISLAND | Dental | 134 | Jul 1, 2025 | $52,085 | $2,031 |
| DELTA DENTAL OF RHODE ISLAND | Dental | 40 | Jul 1, 2025 | $15,611 | $609 |
| DELTA DENTAL OF RHODE ISLAND | Vision | 2 | Jul 1, 2025 | $328 | $33 |
| DELTA DENTAL OF RHODE ISLAND | Dental | 1 | Jul 1, 2025 | $741 | $29 |
| DELTA DENTAL OF RHODE ISLAND | Dental | 0 | Jul 1, 2025 | $476 | $19 |
| BLUE CROSS BLUE SHIELD OF RHODE ISLAND | Health | 407 | Jul 1, 2025 | $2,739,520 | $0 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | 76 | Jul 1, 2025 | $24,487 | $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.
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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Renewal calendar
20 other employer plans in Rhode Island are July 1 renewals (policy year ends June).
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